George E. Mascioli, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

3948-T Issued in NY

Practice address

16930 Jamaica Ave
Jamaica, NY 11432-5218

Phone

(718) 297-2953

Fax

(718) 297-5629

NPI assigned

Sep 27, 2006

Last updated

Nov 15, 2007By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Jamaica Vision Center Corp

  dba Professional Eyecare Center

  • Optometrist
  • Jamaica, NY
  • NPI 1699209353
  Medicare reassignment NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1649361114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ELAINE DR",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725709",
            "telephone_number": "718-297-2953",
            "fax_number": "718-297-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16930 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325218",
            "telephone_number": "718-297-2953",
            "fax_number": "718-297-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCIOLI",
        "first_name": "GEORGE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "3948-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0492882",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1865484",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00497645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanika Martinez, LCSW
• Diane Martori, LCSW
• Mohammad Golam Maruf, MD
• Mary Immaculate Hospital
• Mary Immaculate Hospital
• Alyssa Rose Mascolo
• Stephen Charles Masiello, LMSW
• Adrienne Mason
• Faisal Masood, DC
• Alicia Massop-Flowers, D.O.

• Corneal and Contact Management Optometrist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Corneal and Contact Management Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.