Individual provider Active NPI

Melissa Mastroianni, M.D.

  • Plastic Surgery Physician
  • Fairfield, CT
National Provider Identifier
1467776179
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
66501 Issued in CT
Practice address
140 Sherman St
Fairfield, CT 06824-5849
Phone
(516) 616-5500
NPI assigned
Mar 24, 2010
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 66501 CT Primary

Addresses

Primary practice location

140 Sherman St
Fairfield, CT 06824-5849

Mailing address

125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Phone (516) 351-7328

Other practice location 1

2001 W Main St
Stamford, CT 06902-4501
Phone (516) 616-5500 ext. 107

Other practice location 2

345 Colt Hwy
Farmington, CT 06032-2567
Phone (516) 616-5500 ext. 107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200901002838 CT Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 6800034992 Reassigns benefits to 3 organizations
I20241217001367 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 6800034992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

Practice addresses (Care Compare)

2001 W Main St
Suite 150
Stamford, CT 06902-4542
Phone (516) 616-5500

400 Westage Business Ctr Dr
Suite 209
Fishkill, NY 12524-2295
Phone (516) 616-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66501CTMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Bariatric Surgery Group PLLC CurrentSince Sep 22, 2024 Accepting new patients
Yale University CurrentSince Jul 20, 2020 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince May 1, 2023 Accepting new patients
Yale University CurrentSince Jul 20, 2020 Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

140 Sherman St
Fairfield, CT 06824
Phone (203) 254-9533

140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451

345 Colt Hwy
Farmington, CT 06032
Phone 5166165500 ext. 107

345 Colt Hwy
Ste C
Farmington, CT 06032

330 Cedar St
New Haven, CT 06510
Phone (203) 785-2385

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 324-4700

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200

646 Park Ave
New York, NY 10065
Phone (212) 249-0404

55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020

715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

1441 South Ave
Ste 205
Staten Island, NY 10314

560 Sunrise Hwy
West Islip, NY 11795

2 Crosfield Ave
Ste 208
West Nyack, NY 10994
Phone (845) 348-9400

Interoperability endpoints

  • Direct secure messaging: melissa.mastroianni@xdr.hhchealthdirect.org
  • Direct secure messaging: nybg.melissamastroianni@136202.advancedmd-direct.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1467776179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MINEOLA AVE STE 200",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772042",
            "telephone_number": "516-351-7328",
            "fax_number": "888-502-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SHERMAN ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245849",
            "telephone_number": "516-616-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W Main St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069024501",
            "country_code": "US",
            "telephone_number": "516-616-5500 x107",
            "fax_number": "888-502-6582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Colt Hwy",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322567",
            "country_code": "US",
            "telephone_number": "516-616-5500 x107",
            "fax_number": "888-502-6582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTROIANNI",
        "first_name": "MELISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "66501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.