Individual provider Active NPI

Jason Lloyd Maskaly, D.C.

  • Chiropractor
  • Factoryville, PA
National Provider Identifier
1710967757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007920-L Issued in PA
Practice address
RR 3 Box 3258
Factoryville, PA 18419-9323
Phone
(570) 945-3373
Fax
(570) 945-3552
NPI assigned
Jan 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-007920-L PA Primary

Addresses

Primary practice location

RR 3 Box 3258
Factoryville, PA 18419-9323

Mailing address

RR 3 Box 3258
Factoryville, PA 18419-9323
Phone (570) 945-3373

Other identifiers 4

IdentifierTypeStateIssuer
7489251OtherPAAETNA
0018453410001MedicaidPA
440659OtherPAFIRST PRIORITY HEALTH
928167OtherPABLUE CROSS BLUE SHIELD

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

State licenses

LicenseStateTypeSpecialty
DC-007920-LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710967757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 3258",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184199323",
            "telephone_number": "570-945-3373",
            "fax_number": "570-945-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 3258",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184199323",
            "telephone_number": "570-945-3373",
            "fax_number": "570-945-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKALY",
        "first_name": "JASON",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007920-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7489251",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018453410001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "440659",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "928167",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Factoryville, PA

Sources for this page

  • 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.