Majd Al Masri, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI 1447140397 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1447140397
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
263 Farmington Ave
Farmington, CT 06030-8073
Phone
(860) 679-8080
Fax
(860) 679-1340
NPI assigned
Jul 3, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250722000122 CT Order and Referring Only - General Surgery
Practitioner - General Surgery
8022524669

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-8073

Mailing address

263 Farmington Ave
Farmington, CT 06030-1921
Phone (860) 679-2147

Other providers in Farmington, CT

All providers in Farmington, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.