Kathleen Mauro, CPT ACE

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

T27075 Issued in NY

Practice address

2500 Nesconset Hwy BLDG 26
Stony Brook, NY 11790-2555

Phone

(631) 364-9038

NPI assigned

May 30, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephen Probst MD PC

  • Pain Medicine Physician
  • Stony Brook, NY
  • NPI 1407661937
  NPD
• Stony Brook Holistic Wellness, LLC

  • Nurse Practitioner
  • Stony Brook, NY
  • NPI 1235923269
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1457244345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 26",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-364-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 26",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-364-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "KATHLEEN",
        "credential": "CPT ACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NY",
            "license": "T27075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COUNCIL ON EXERCISE- PERSONAL TRAINER CERTIFICATE",
            "identifier": "T27075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirlande Mathurin-Thervil, RN
• Katima Matthias
• Derek Noel Mattimoe, MD
• Tiffany Josephine Mattis-Pabifio
• Nikki Isis Matus, NURSE PRACTITIONER
• Christopher Mayer
• Susanne Mayernik
• Christopher Michael Mazis, MD
• Christina Michelle Mazza, MD
• Lucas James McArthur, M.D.

• Personal Care Attendant in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Personal Care Attendant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.