Paula Vida Masto, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

002893 Issued in CT

Practice address

13 Peck St
North Haven, CT 06473-2308

Phone

(203) 239-4627

Fax

(203) 234-8533

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Paula Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: psmith3932@direct.ynhh.org

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1497802425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PECK ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732308",
            "telephone_number": "203-239-4627",
            "fax_number": "203-234-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PECK ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732308",
            "telephone_number": "203-239-4627",
            "fax_number": "203-234-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTO",
        "first_name": "PAULA",
        "middle_name": "VIDA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "002893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004232302",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "SMITH",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bianca Maribel Marmolejos
• Elise Maro, PA-C
• James S Marsh, MD
• Anna C Martin, MSW LCSW
• Catherine Gabriella Martin, CPNP-PC
• Jeffrey Adam Mathias
• Maria Matos
• Michael Edward Mattie, DDS
• Tierney Rose Maturo, PHARMD, RPH
• Ralph Laudano Mauriello, P.T.

• Pediatric Nurse Practitioner in North Haven, CT
• Providers in North Haven, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.