Individual provider Active NPI

Mark William Lamastro, MD

  • Anesthesiology Physician
  • Port Chester, NY
National Provider Identifier
1659361004
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
185 362 1 Issued in NY
Practice address
728 King St.
Port Chester, NY 10573
Phone
(914) 939-8858
Fax
(914) 939-3814
NPI assigned
Oct 26, 2005
Last updated
Sep 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 185 362 1 NY Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 185 362 1 NY

Addresses

Primary practice location

728 King St.
Port Chester, NY 10573

Mailing address

728 King St
Port Chester, NY 10573
Phone (914) 939-8858

Other identifiers 5

IdentifierTypeStateIssuer
P2742862OtherNYOXFORD
8K818OtherNYEMPIRE BC BS
0007752423OtherNYAETNA US HEALTHCARE PPO
5398370OtherNYGHI
3021392OtherNYAETNA US HEALTHCARE HMO

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031226000194 NY Practitioner - Anesthesiology 8325946551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

127 S Broadway
Yonkers, NY 10701-4006
Phone (845) 357-5775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185 362 1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Dec 17, 2020 Accepting new patients
Westchester Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1659361004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 KING ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-939-8858",
            "fax_number": "914-939-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 KING ST.",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-939-8858",
            "fax_number": "914-939-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMASTRO",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "185 362 1",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "185 362 1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2742862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC BS",
            "identifier": "8K818",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE PPO",
            "identifier": "0007752423",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5398370",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE HMO",
            "identifier": "3021392",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

Verify at the official NPI Registry.