Angelo Mastrosimone, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

MA 22798 Issued in NJ

Practice address

123 Franklin Corner Road
Suite 105
Lawrenceville, NJ 08648

Phone

(609) 896-2300

Fax

(609) 896-2211

NPI assigned

Sep 1, 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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Other, 1965

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Consultants in Asthma, Allergy and Immunology, P.a.

  • Allergy & Immunology Physician
  • Garfield, NJ
  • NPI 1063603264
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801998018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER ROAD",
            "address_2": "SUITE 105",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-896-2300",
            "fax_number": "609-896-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER ROAD",
            "address_2": "SUITE 105",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-896-2300",
            "fax_number": "609-896-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROSIMONE",
        "first_name": "ANGELO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "MA 22798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marcus, MS CCC/SLP
• Mark S. Sofair-Fisch, PHD
• Ruth Markoe, MS,CCC/SLP
• Marsha Portnoy, LCSW LLC
• Mary C. Puschel, MSW, LCSW
• Joseph McBride, MSW
• Samantha Renee McCarl, DPT
• Melissa McCue, D.C.
• Michael Riley McCue Jr., D.C
• Janet M McCulloch, MSW, LCSW

• Allergy Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Allergy Physician in New Jersey

• 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.
• 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.

Verify at the official NPI Registry.