Dr. Domenick J Masiello, DO
Neuromusculoskeletal Medicine & OMM in Ridgefield, Connecticut
1184747305- Practice location
- 430 Old Sib RD, Ridgefield, CT 06877-2335
- Phone
- 203-826-3582
- Fax
- 855-798-2816
- Last updated
- September 13, 2016
Domenick John Masiello is a Neuromusculoskeletal Medicine & OMM based in Ridgefield, CT. Domenick John Masiello practices in Ridgefield, CT and has the professional credentials of DO. The NPI Number for Domenick John Masiello is 1184747305 and holds a License No. 167000 (NY). The current practice location address for Domenick John Masiello is 430 Old Sib RD, Ridgefield, CT 06877-2335 and can be reached out via phone at 203-826-3582 and via fax at 855-798-2816.
Provider Profile Details
- NPI Number
- 1184747305
- Provider Name
- Domenick John Masiello
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 430 Old Sib RD, Ridgefield, CT 06877-2335
- Phone Number
- 203-826-3582
- Fax Number
- 855-798-2816
- Primary Taxonomy
- Neuromusculoskeletal Medicine & OMM · 204D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 10, 2007
- Last Update Date
- September 13, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 430 Old Sib RD
Ridgefield, CT 06877-2335 - City
- Ridgefield
- State
- Connecticut
- Zip
- 06877-2335
- Phone Number
- 203-826-3582
- Fax Number
- 855-798-2816
Provider Business Mailing Address Details
- Address
- 430 Old Sib RD
Ridgefield, CT 06877-2335 - City
- Ridgefield
- State
- CT
- Zip
- 06877-2335
- Phone Number
- 212-688-4818
- Fax Number
- 855-798-2816
License Information
- License Number (1)
- 167000
- License State (1)
- NY
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 000278
- License State (2)
- CT
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 167000
- License State (3)
- NY
- Taxonomy (3)
- Neuromusculoskeletal Medicine & OMM · 204D00000X · Primary
- License Number (4)
- 000278
- License State (4)
- CT
- Taxonomy (4)
- Neuromusculoskeletal Medicine & OMM · 204D00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Domenick J Masiello, DO?
The NPI number of Dr. Domenick J Masiello, DO is 1184747305. It was assigned on April 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Domenick J Masiello, DO?
Dr. Domenick J Masiello, DO is registered under the primary taxonomy Neuromusculoskeletal Medicine & OMM (code 204D00000X), licensed in NY under license number 167000.
Where does Dr. Domenick J Masiello, DO practice?
The practice location is 430 Old Sib RD, Ridgefield, CT 06877-2335. The office can be reached at 203-826-3582 (phone) or 855-798-2816 (fax).
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 1184747305 directly on the NPPES registry website.