Teresita G Mascardo MD PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0310 Issued in CT

Legal business name

TERESITA G MASCARDO MD PC

Doing business as

Connecticut Plastic Surgery Center

Practice address

598 Danbury Rd
Ridgefield, CT 06877-2718

Phone

(203) 431-0280

Fax

(203) 894-1250

NPI assigned

Nov 8, 2006

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresita G Mascardo, MD

Title

President

Phone

(203) 431-0280

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Connecticut Plastic Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1790854081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 DANBURY ROAD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "06877",
            "telephone_number": "203-431-0280",
            "fax_number": "203-894-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772718",
            "telephone_number": "203-431-0280",
            "fax_number": "203-894-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESITA G MASCARDO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "MASCARDO",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-431-0280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001201664",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Philip Tarsi Jr., MSPT
• Dawn Cheryl Teczar, DC
• Donald Stephen Teig, O.D.
• Julia Teitelbaum, MSW, LCSW
• Olesya Telenko, DMD
• Therapy Space CT (Integrated Behavioral Health)
• Thomas Cigno MD LLC
• Joanne Thompson, MD
• Yvette Tola Thompson, PSY.D.
• Thrive Nutrition of CT, LLC

• Ambulatory Surgical Clinic/Center in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Ambulatory Surgical Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.