Terry Masson

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Practice address

76 Mill Pond Rd
Jackson, NJ 08527-4892

Phone

(973) 873-5716

NPI assigned

Nov 27, 2023

Last updated

Jul 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1538935101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MILL POND RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274892",
            "telephone_number": "973-873-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MILL POND RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274892",
            "telephone_number": "973-873-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSON",
        "first_name": "TERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Markow
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• Mary-Ellen Rada, DC, LLC
• Patricia A Marzullo
• Matthew Masiello
• Master It OT
• May Flower Supported Living
• Shoshana Mayerfeld, FNP-C
• Allison McCann
• Melissa McCulloch, BCBA

• Mental Illness Community Based Residential Treatment Facility in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Mental Illness Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; 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.