Gregory James Massaro, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN097438 Issued in OH

Practice address

924 Rebecca St
Wooster, OH 44691-4268

Phone

(330) 621-8507

NPI assigned

Jul 10, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1487060349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 REBECCA ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914268",
            "telephone_number": "330-621-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 REBECCA ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914268",
            "telephone_number": "330-621-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN097438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Martindale
• Ashley Elizabeth Martinus
• Paul A Masci, DO
• Rhonda Kay Masci, PA
• Raymond Gregory Mason, MD
• Sue Massaro, BA, LSW
• Ashley Mast
• Cheryl Sue Mast, RPH
• Holly Jean Mast, MAED
• Nicole Mast, LSW

• Licensed Practical Nurse in Wooster, OH
• Providers in Wooster, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.