Active NPI
Jeffrey Massaro
- Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024681
- Practice address
- 1211 E Kennedy Blvd Unit 530
Tampa, FL 33602-3783 - Phone
- (718) 759-6100
- NPI assigned
- Feb 11, 2020
- Last updated
- Oct 25, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 024681 | NY | Primary |
Addresses
Primary practice location
1211 E Kennedy Blvd Unit 530
Tampa, FL 33602-3783
Mailing address
1211 E Kennedy Blvd Unit 530
Tampa, FL 33602-3783
Phone (718) 759-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9113916 | Other | FL | FL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12902 Usf Magnolia Dr
Tampa, FL 33612-9497
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88 of 100
- Quality
- 74.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Rothman Orthopaedics of Florida,PLLC | Current | Accepting new patients |
Locations
5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400
16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700
255 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-6070
255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333
200 N Bryant Ave
Ste 10
Edmond, OK 73034
Organizations & group practices 6
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.
-
dba Rothman Orthopaedic Institute
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1669086872
-
dba Fast Track Urgent Care Center
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1063718013
-
dba Rothman Orthopaedic Institute
- Prosthetic/Orthotic Supplier
- Winter Park, FL
- NPI 1891371779
-
- Urgent Care Clinic/Center
- Punta Gorda, FL
- NPI 1174336119
-
dba Fast Track Urgent Care Center
- General Practice Physician
- Wesley Chapel, FL
- NPI 1194198382
-
- Urgent Care Clinic/Center
- St Petersburg, FL
- NPI 1316694144
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1780216432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 E KENNEDY BLVD UNIT 530",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023783",
"telephone_number": "718-759-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 E KENNEDY BLVD UNIT 530",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023783",
"telephone_number": "718-759-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSARO",
"first_name": "JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024681",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "PA9113916",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.