Individual provider Active NPI

Deborah A. Mastriani, APRN

  • Family Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1972547495
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002113 Issued in CT
Practice address
21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013
Phone
(203) 574-3777
Fax
(203) 755-1708
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 002113 CT
Sleep Medicine (Otolaryngology) Physician 207YS0012X 002113 CT
Family Nurse Practitioner 363LF0000X 002113 CT Primary

Addresses

Primary practice location

21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013

Mailing address

21 W Main St
One Exchange Place BLDG-3Rd Floor
Waterbury, CT 06702-2013
Phone (203) 574-3777

Other identifiers 1

IdentifierTypeStateIssuer
004238839MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050331000521 CT Practitioner - Nurse Practitioner 0042267205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21 W Main St
1 Exchange Place BLDG 3Rd Floor
Waterbury, CT 06702-2016
Phone (203) 574-3777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002113CTMDClinical Psychologist
2113CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear, Nose & Throat, Sinus & Allergy Specialists, P.C. CurrentSince Mar 1, 2002 Accepting new patients
Thomas P. Greco M D P C Past Accepting new patients

Locations

1 Pomperaug Office Park
Ste 204
Southbury, CT 06488
Phone (203) 264-2909

21 W Main St
Fl 1
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Fl 3
Waterbury, CT 06702
Phone (203) 574-3777

21 W Main St
Bldg 3RD
Waterbury, CT 06702
Phone (203) 574-3777

Interoperability endpoints

  • Direct secure messaging: dmastriani@direct.wtbyhosp.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1972547495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W MAIN ST",
            "address_2": "ONE EXCHANGE PLACE BLDG-3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022013",
            "telephone_number": "203-574-3777",
            "fax_number": "203-755-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MAIN ST",
            "address_2": "ONE EXCHANGE PLACE BLDG-3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022013",
            "telephone_number": "203-574-3777",
            "fax_number": "203-755-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRIANI",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002113",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "CT",
            "license": "002113",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004238839",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.