Active NPI
Christopher J Mastino MD LLC
- Physical Medicine & Rehabilitation Physician
- Fairfield, CT
National Provider Identifier
1487899944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 037809
- Legal business name
- CHRISTOPHER J MASTINO MD LLC
- Practice address
- 314 Riverside Drive
Fairfield, CT 06824 - Phone
- (203) 685-6326
- Fax
- (203) 580-3366
- NPI assigned
- Dec 11, 2008
- Last updated
- Jul 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher John Mastino, M.D.
- Title
- Owner
- Phone
- (203) 685-6326
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 037809 | CT | Primary |
Addresses
Primary practice location
314 Riverside Drive
Fairfield, CT 06824
Mailing address
314 Riverside Drive
Fairfield, CT 06824
Phone (203) 685-6326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Fairfield, CT
- NPI 1740230358
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1487899944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 RIVERSIDE DRIVE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-685-6326",
"fax_number": "203-580-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 RIVERSIDE DRIVE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-685-6326",
"fax_number": "203-580-3366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER J MASTINO MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-11",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "MASTINO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-685-6326",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CT",
"license": "037809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.