John Mauriello, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

95-00402 Issued in NC

Practice address

4106 W Lake Mary Blvd
Suite 324
Lake Mary, FL 32746-3315

Phone

(407) 892-8484

Fax

(407) 892-8485

NPI assigned

Feb 8, 2006

Last updated

Mar 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Vein Associates, P.a.

  • Phlebology Physician
  • Lake Mary, FL
  • NPI 1396921995
  Authorized official Same address or phone
• Vein Help of Orlando

  • Phlebology Physician
  • Lake Mary, FL
  • NPI 1043480700
  NPD (past) Authorized official
• Carolina Vein Center PLLC

  • Phlebology Physician
  • Durham, NC
  • NPI 1952564718
  NPD (past)
• Vein Associates Durham, P.C.

  • Specialist
  • Durham, NC
  • NPI 1497784490
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205020800000",
    "number": "1457324766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD",
            "address_2": "SUITE 324",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463315",
            "telephone_number": "407-892-8484",
            "fax_number": "407-892-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD",
            "address_2": "SUITE 324",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463315",
            "telephone_number": "407-892-8484",
            "fax_number": "407-892-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURIELLO",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NC",
            "license": "95-00402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyneisha Inez Mathews
• Bethany Sue Mathis
• Katherine Matos, NP
• Deane Gail Matthew, MA, LMHC
• Tiffany R Matthews, LMT
• Ciara Maxfield
• Maxine Minto MD P.a.
• Heather May, LMHC
• Ivan Dario Maya, MD
• Lloyd Javarr Mayes III

• Phlebology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Phlebology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2008; 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.