NPIMap

Individual provider Active NPI

Mauro D Gasparini, MD

  • Internal Medicine Physician
  • Massapequa, NY
National Provider Identifier
1871686691
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
141648 Issued in NY
Practice address
119 New York Avenue
Massapequa, NY 11758-4601
Phone
(516) 799-2555
Fax
(516) 799-2595
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 141648 NY Primary

Addresses

Primary practice location

119 New York Avenue
Massapequa, NY 11758-4601

Mailing address

119 New York Avenue
Massapequa, NY 11758-4601
Phone (516) 799-2555

Other identifiers 1

IdentifierTypeStateIssuer
00591460MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000796 NY Practitioner - Internal Medicine 0547340291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mauro Gasparini MD PCGroup PAC ID 1456432400, 3 clinicians

Practice addresses (Care Compare)

119 New York Ave
Massapequa, NY 11758-4601
Phone (516) 799-2555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Gasparini, D.P.M. P.C. PastSince Dec 16, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mauro.gasparini.1@10566.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1871686691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NEW YORK AVENUE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584601",
            "telephone_number": "516-799-2555",
            "fax_number": "516-799-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEW YORK AVENUE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584601",
            "telephone_number": "516-799-2555",
            "fax_number": "516-799-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARINI",
        "first_name": "MAURO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "141648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00591460",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.