Individual provider Active NPI

Anthony Joseph Maselli, PA-C

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1801182126
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002585 Issued in CT
Practice address
80 Seymour St
Hartford, CT 06102-8000
Phone
(860) 545-5000
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002585 CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

90 Summer LN
Rocky Hill, CT 06067-1060
Phone (860) 563-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140722000743 MA Practitioner - Physician Assistant 9739359373 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians
Mass General Brigham Urgent Care LLCGroup PAC ID 9436470119, 106 clinicians

Practice addresses (Care Compare)

101 Main St
Medford, MA 02155-4530
Phone (781) 395-4761

1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505

137 Stuart St
Suite a 7
Boston, MA 02116-5609
Phone (888) 980-0505

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Health Express, Inc CurrentSince Mar 1, 2020 Accepting new patients
South Shore Health Express, Inc CurrentSince Mar 1, 2020 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 24, 2022 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Apr 1, 2026 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Oct 24, 2022 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Mass General Brigham Community Physicians Inc. Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

101 Main St
Ste 107
Medford, MA 02155
Phone (781) 391-4004

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

Interoperability endpoints

  • Direct secure messaging: maselli.anthony.bwh@direct.partners.masshiway.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1801182126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SUMMER LN",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671060",
            "telephone_number": "860-563-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-545-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASELLI",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.