Elizabeth L Massimini, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

SC003395L Issued in PA

Practice address

1008 N Providence Rd
Media, PA 19063-2101

Phone

(610) 892-8090

Fax

(610) 892-8040

NPI assigned

Jan 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Keystone Foot and Ankle Associates, PC

  • Podiatrist
  • Springfield, PA
  • NPI 1316045396

  Foot Surgery

  NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1922078765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632101",
            "telephone_number": "610-892-8090",
            "fax_number": "610-892-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632101",
            "telephone_number": "610-892-8090",
            "fax_number": "610-892-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIMINI",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC003395L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01600367",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Mascari, PA-C
• Elizabeth L Mason, RPH, EMT
• Elliot Mason
• Daniel Patrick Massaro, MSW, LCSW
• Gabrielle Massi, PSYD
• Stephanie Massimini, L.AC.
• Yamah Phashapel Mator
• Kara B Matsco, PA
• Lauren Matturro, PSYD
• Ashley Matz, PSYD

• Foot Surgery Podiatrist in Media, PA
• Providers in Media, PA by specialty
• Foot Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.