NPIMap

Individual provider Active NPI

Joseph H Mastromarino, MD

  • Emergency Medicine Physician
  • Janesville, WI
National Provider Identifier
1568471985
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9586 Issued in NH
Practice address
1000 Mineral Point Ave
Mercy Hospital
Janesville, WI 53548
Phone
(608) 756-6000
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9586 NH Primary

Addresses

Primary practice location

1000 Mineral Point Ave
Mercy Hospital
Janesville, WI 53548

Mailing address

1000 Mineral Point Ave
Mercy Hospital and Trauma Center
Janesville, WI 53548-2940
Phone (608) 756-6000

Other identifiers 1

IdentifierTypeStateIssuer
30201082MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9586NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exeter Emergency Physicians PA Past Accepting new patients
West Virginia Em-I Medical Services Emergency Medicine Past Accepting new patients
Granite State Emergency Physicians PC Past Accepting new patients
Exeter Hospital Inc Past Accepting new patients
Exeter Health Resources Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1568471985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "address_2": "MERCY HOSPITAL AND TRAUMA CENTER",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "address_2": "MERCY HOSPITAL",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53548",
            "telephone_number": "608-756-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROMARINO",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "9586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201082",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.