Provider Demographics
NPI:1548256720
Name:MASELLI, JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MASELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 ROUTE 304
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3041
Mailing Address - Country:US
Mailing Address - Phone:845-634-8400
Mailing Address - Fax:845-634-0979
Practice Address - Street 1:510 ROUTE 304
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3041
Practice Address - Country:US
Practice Address - Phone:845-634-8400
Practice Address - Fax:845-634-0979
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135067207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY002942OtherCONNECTICARE #
NY0122670OtherAETNA HMO#
NY135067OtherHIP #
NYRS028OtherOXFORD ID #
NY0052769OtherGHI PPO ID #
NY0D4712OtherHEALTHNET ID #
NY160015222OtherRAILROAD MEDICARE ID #
NY51A251OtherEMPIRE BC/BS NEW CITY #
NY51A253OtherEMPIRE BC/BS STONY PT, #
NY4125809OtherMVP #
NY1601397OtherCHUBB/HEALTHSOURCE #
NY4096886OtherAETNA PPO ID #
NYB15713Medicare UPIN
NY51A251OtherEMPIRE BC/BS NEW CITY #
NY51A25X0191Medicare PIN