- Practice location
- 39 6TH St, Pelham, NY 10803-1140
- Phone
- 914-755-6373
- Fax
- —
- Last updated
- June 19, 2012
Jodianne Materasso is a Specialist based in Pelham, NY. Jodianne Materasso practices in Pelham, NY and has the professional credentials of MSED. The NPI Number for Jodianne Materasso is 1053674580 and holds a License No. 457081101 (NY). The current practice location address for Jodianne Materasso is 39 6TH St, Pelham, NY 10803-1140 and can be reached out via phone at 914-755-6373.
Provider Profile Details
- NPI Number
- 1053674580
- Provider Name
- Jodianne Materasso
- Credential
- MSED
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 39 6TH St, Pelham, NY 10803-1140
- Phone Number
- 914-755-6373
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 19, 2012
- Last Update Date
- June 19, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 6TH St
Pelham, NY 10803-1140 - City
- Pelham
- State
- New York
- Zip
- 10803-1140
- Phone Number
- 914-755-6373
Provider Business Mailing Address Details
- Address
- 39 6TH St
Pelham, NY 10803-1140 - City
- Pelham
- State
- NY
- Zip
- 10803-1140
- Phone Number
- 914-755-6373
License Information
- License Number (1)
- 457081101
- License State (1)
- NY
- Taxonomy (1)
- Specialist · 174400000X · Primary
- License Number (2)
- 457080101
- License State (2)
- NY
- Taxonomy (2)
- Specialist · 174400000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Pelham, NY
View all Specialists in Pelham →Frequently Asked Questions
What is the NPI number of Jodianne Materasso, MSED?
The NPI number of Jodianne Materasso, MSED is 1053674580. It was assigned on June 19, 2012 and is currently active in the NPPES registry.
What is the specialty of Jodianne Materasso, MSED?
Jodianne Materasso, MSED is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 457081101.
Where does Jodianne Materasso, MSED practice?
The practice location is 39 6TH St, Pelham, NY 10803-1140. The office can be reached at 914-755-6373 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053674580 directly on the NPPES registry website.