Edward D Mastromonaco, DO PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MB233406 Issued in NJ

Practice address

696 Ave C
Bayonne, NJ 07002

Phone

(201) 339-2284

NPI assigned

Jul 25, 2006

Last updated

Feb 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: edward.mastromonaco@direct.bayonnemedicalcenter.md

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.

• Edward D Mastromonaco, D.O.P.a.

  • Orthopaedic Surgery Physician
  • Bayonne, NJ
  • NPI 1891098711
  Authorized official Same address or phone
• Ijkg Opco LLC

  dba Bayonne University Hospital

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1821010836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 AVE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-339-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 AVE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-339-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROMONACO",
        "first_name": "EDWARD",
        "middle_name": "D",
        "credential": "DO PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MB233406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NEW JERSEY 410562",
            "identifier": "410562",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.