Organization Active NPI

M.a.S. Medical, P.C.

  • General Practice Physician
  • Astoria, NY
National Provider Identifier
1922262302
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
227248 Issued in NY
Legal business name
M.A.S. MEDICAL, P.C.
Practice address
3055 21St St
Astoria, NY 11102-3669
Phone
(973) 600-4691
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Renee Vessichelli
Title
Billing Manager
Phone
(973) 600-4691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 227248 NY Primary

Addresses

Primary practice location

3055 21St St
Astoria, NY 11102-3669

Mailing address

3164 21St St
Long Island City, NY 11106-4573
Phone (973) 600-4691

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1922262302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064573",
            "telephone_number": "973-600-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023669",
            "telephone_number": "973-600-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.S. MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "VESSICHELLI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-600-4691"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "227248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.