John D Mastrobattisto, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1155 Issued in CT

Practice address

71 Bradley Rd
Unit 5
Madison, CT 06443-2662

Phone

(203) 804-9238

NPI assigned

Nov 16, 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 CT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shoreline Chiropractic Center, LLC

  • Chiropractor
  • Madison, CT
  • NPI 1003178179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1902979263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BRADLEY RD",
            "address_2": "UNIT 5",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432662",
            "telephone_number": "203-245-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BRADLEY RD",
            "address_2": "UNIT 5",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432662",
            "telephone_number": "203-804-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROBATTISTO",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra E Marotta, PHARM.D.
• Nicole Ann Marquis, D.M.D.
• Katherine Irene Martin
• Maryann Y Grimaldi LMFT, LLC
• Allie Mascia
• Maynard Medical, LLC
• Kristi Maynard, APRN
• Angelica Davison McCarthy, DAT, LAT, ATC
• Vanessa McConville
• Kathryn M McDonnell, APRN

• Chiropractor in Madison, CT
• Providers in Madison, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.