Daniel James Mascaro

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00745400 Issued in NJ

Practice address

565 Long Hill Rd
Groton, CT 06340-4166

Phone

(860) 501-8863

NPI assigned

May 22, 2017

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

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Back and Neck Care Center LLCGroup PAC ID 7315999190, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Back and Neck Care Center LLC

  • Chiropractor
  • Groton, CT
  • NPI 1588680078
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1508393489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404166",
            "telephone_number": "860-501-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404166",
            "telephone_number": "860-501-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARO",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00745400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Elizabeth Marter, NPC
• Cameron Anson Martin, IDC
• Katherine Sarah Martin, BA
• Matthew Martin, DO
• Kathy Ann Martinelli, LPC
• Joseph A Mascaro, DC
• Janet Mattiucci, RPH
• Joseph John May
• Douglas McAdams, M.D.
• Stephanie Ann McBurnett, RDN

• Chiropractor in Groton, CT
• Providers in Groton, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.