Active NPI
Perry L Masotti, LMSW
- Psychiatric Hospital
- Orangeburg, NY
National Provider Identifier
1568781607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 72 080566
- Practice address
- 140 Old Orangeburg Road
Rockland Psychiatric Center
Orangeburg, NY 10962-5651 - Phone
- (845) 489-0052
- NPI assigned
- May 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 72 080566 | NY | Primary |
Addresses
Primary practice location
140 Old Orangeburg Road
Rockland Psychiatric Center
Orangeburg, NY 10962-5651
Mailing address
150 Marabac Rd
Gardiner, NY 12525-5651
Phone (845) 489-0052
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72 080566 | NY | MD | Psychiatric Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1568781607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MARABAC RD",
"city": "GARDINER",
"state": "NY",
"postal_code": "125255651",
"telephone_number": "845-489-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 OLD ORANGEBURG ROAD",
"address_2": "ROCKLAND PSYCHIATRIC CENTER",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109625651",
"telephone_number": "845-489-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASOTTI",
"first_name": "PERRY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NY",
"license": "72 080566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.