Individual provider Active NPI

Joseph Anthony Masiello, PA-C

  • Physician Assistant
  • Cranston, RI
National Provider Identifier
1861285413
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
750 Reservoir Ave
Cranston, RI 02910-4423
Phone
(401) 944-7546
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 NU Primary

Addresses

Primary practice location

750 Reservoir Ave
Cranston, RI 02910-4423

Mailing address

27 Byron St
North Providence, RI 02911-1910
Phone (401) 206-7716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20260302001602 RI Practitioner - Physician Assistant 8022599653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David S Pomerantz MD IncGroup PAC ID 5890725881, 5 clinicians

Practice addresses (Care Compare)

333 School St
Suite 112a
Pawtucket, RI 02860-5336
Phone (401) 728-6990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Derm & Cosmetic Center, Inc CurrentSince Jan 14, 2026 Accepting new patients

Locations

750 Reservoir Ave
Cranston, RI 02910
Phone (401) 464-6617

215 Toll Gate Rd
Ste 206A
Warwick, RI 02886
Phone (401) 490-4515

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1861285413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BYRON ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029111910",
            "telephone_number": "401-206-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104423",
            "telephone_number": "401-944-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIELLO",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.