Judith M Mascolo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036592 Issued in CT

Practice address

639 Park Rd
Suite 100
West Hartford, CT 06107-3443

Phone

(860) 233-4600

Fax

(860) 233-4604

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Connecticut School of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Judith M. Mascolo, MD, LLC

  • Family Medicine Physician
  • West Hartford, CT
  • NPI 1043406812
  Medicare reassignment Authorized official
• Health One Physician Associates LLC

  • Family Medicine Physician
  • Windsor, CT
  • NPI 1558477901
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1972641801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 PARK RD",
            "address_2": "SUITE 100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073443",
            "telephone_number": "860-233-4600",
            "fax_number": "860-233-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 PARK RD",
            "address_2": "SUITE 100",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073443",
            "telephone_number": "860-233-4600",
            "fax_number": "860-233-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCOLO",
        "first_name": "JUDITH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "036592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Martin IV
• Morgan Martin
• Trina Patenaude Martin, APRN
• Mary McGowan
• Kathryn J Mas, L.C.S.W.
• Lauren Mastro
• Litty Mathews, M.D
• Patrice J Mathurine, APRN
• Shayla Mattesen
• Celeste E Mattingly, LCSW

• Family Medicine Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.
• 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.