Kathy L Mascola, CO, BOCPO, LPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

45PO00009500 Issued in NJ

Practice address

331 Main St
West Orange, NJ 07052-5703

Phone

(973) 736-2244

Fax

(973) 736-2227

NPI assigned

Jun 27, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Next Step Orthopaedics, Inc.

  • Prosthetic/Orthotic Supplier
  • Cedar Knolls, NJ
  • NPI 1104315639

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1821583345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525703",
            "telephone_number": "973-736-2244",
            "fax_number": "973-736-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525703",
            "telephone_number": "973-736-2244",
            "fax_number": "973-736-2227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Madison Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607366",
            "country_code": "US",
            "telephone_number": "973-736-2244",
            "fax_number": "973-736-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCOLA",
        "first_name": "KATHY",
        "middle_name": "L",
        "credential": "CO, BOCPO, LPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NJ",
            "license": "45PO00009500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Calvin Martin, DDS
• Sunday Martin
• Olivia Martinez, BCBA
• Elizabeth Blaire Martinotti, M.A., LMHC, LPC
• Nageswara Reddy Maruri, R. PH.
• Alexandria Sarah Mason, M.D.
• Mass Order Medical Transport, Incorporated
• Harold L. Mast, MD
• Vincent Mastronardi
• Neetha Mathew, DO

• Orthotist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Orthotist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.