Mastellone Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH4788 Issued in FL

Legal business name

MASTELLONE INC

Practice address

1807 S Kanner Hwy
Stuart, FL 34994-7204

Phone

(772) 287-4277

Fax

(772) 286-6912

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James A Mastellone, DCNPI 1407957608

Title

President

Phone

(772) 287-4277

Specialties & licenses 1

Addresses

Other names 1

• JAMES A MASTELLONE Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James A Mastellone, DC

  • Sports Physician Chiropractor
  • Stuart, FL
  • NPI 1407957608
  Medicare reassignment NPD Authorized official
• Jeanne M Evans, DC

  • Chiropractor
  • Stuart, FL
  • NPI 1235238080
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457572794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349947204",
            "telephone_number": "772-287-4277",
            "fax_number": "772-286-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349947204",
            "telephone_number": "772-287-4277",
            "fax_number": "772-286-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTELLONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTELLONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-287-4277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH4788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES A MASTELLONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• France Mason
• Michelle J Massa, D.C.
• Massage and Fitness Professionals
• Massages by Allen, LLC
• Donna Reid Massey, RBT
• James A Mastellone, DC
• Janice M Master, D.D.S.
• Angela Masters
• Quincy Mather
• Cristian Mathes

• Sports Physician Chiropractor in Stuart, FL
• Providers in Stuart, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.