David M Masur, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

009384 Issued in NY

Practice address

MMC - Dept. of Neurology
111 East 210TH Street, NW BSMT
Bronx, NY 10467

Phone

(718) 944-1940

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699850388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STONEBRIDGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421613",
            "telephone_number": "718-944-1940",
            "fax_number": "718-920-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT. OF NEUROLOGY",
            "address_2": "111 EAST 210TH STREET, NW BSMT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-944-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUR",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "009384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Mastroddi, MS, RN, AGACNP-BC
• Maryjo Mastrogiacomo
• Veronica Mastrogiacomo, N.P.
• Christina Nicole Mastropaolo, M.S.
• Krista Masullo, RN
• Alondra Mata
• Mary Olga Enrile Mata, RN
• Noelia Mata
• Noeralis Mata
• Gabriella Mataev

• Clinical Neuropsychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.