DR. DOMENICK JOHN MASIELLO (NPI# 1184747305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184747305 |
Entity Type | Individual |
Full Name | DR. DOMENICK JOHN MASIELLO |
Credential | DO |
Practice Address |
430 Old Sib Rd Ridgefield CT 06877-2335 |
Practice Telephone | 2038263582 |
Practice Fax Number | 8557982816 |
Mailing Telephone | 2126884818 |
Mailing Fax Number | 8557982816 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2016-09-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 000278 | CT | Allopathic & Osteopathic Physicians |
Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 167000 | NY | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 000278 | CT | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 167000 | NY | Allopathic & Osteopathic Physicians |
Street Address |
430 OLD SIB RD |
City | RIDGEFIELD |
State | CT |
Zip Code | 06877-2335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528478963 | Yasmin Hussain | Occupational Therapist | 430 Old Sib Rd, Ridgefield, CT 06877-2335 | 2014-05-07 |
1114269032 | Holistic Family Medicine LLC | Neuromusculoskeletal Medicine & OMM | 430 Old Sib Rd, Ridgefield, CT 06877-2335 | 2013-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639653850 | Kari Bradley Lombardo | Physical Therapist | 28 Fieldcrest Drive, Ridgefield, CT 06877 | 2018-09-24 |
1942710868 | Being Centered: Psycological Services, Pllc | Psychologist | 100b Danbury Rd., Ste 105e, Ridgefield, CT 06877 | 2017-10-05 |
1376996587 | Laura Susan Craighead | Social Worker | 90 Bloomer Rd, Ridgefield, CT 06877 | 2016-07-22 |
1760801161 | Haig Dodakian | Physician Assistant | 27 Jefferson Drive, Ridgefield, CT 06877 | 2014-04-14 |
1669895306 | Sharon Fudge Hoffner | Physical Therapist | 250 Ivy Hill Road, Ridgefield, CT 06877 | 2014-01-31 |
1720416910 | Lisa Oths | Counselor | 100 B Danbury Road, Suite 201a, Ridgefield, CT 06877 | 2013-10-24 |
1184059966 | Abigail Quincy Egginton | Naturopath | 100b Danbury Rd, Suite 102, Ridgefield, CT 06877 | 2013-09-11 |
1407110281 | Nicole Steen | Social Worker | 100b Danbury Road, Suite 201a, Ridgefield, CT 06877 | 2012-06-27 |
1023384328 | Kelley Hopkins-alvarez | Counselor | 100b Danbury Rd Suite 201d, Ridgefield, CT 06877 | 2012-03-30 |
1285902387 | Lori Wagner | Clinical Neuropsychologist | 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877 | 2011-12-05 |
Find all providers in zip 06877 |
Taxonomy Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114269032 | Holistic Family Medicine LLC | Neuromusculoskeletal Medicine & OMM | 430 Old Sib Rd, Ridgefield, CT 06877-2335 | 2013-03-18 |
1891026878 | Osteopathic Wellness Center, LLC | Neuromusculoskeletal Medicine & OMM | 158 Danbury Rd, Suite 6, Ridgefield, CT 06877-3227 | 2010-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174034367 | Integrative Family Medicine of Ct, Pllc | Neuromusculoskeletal Medicine & OMM | 1435 Bedford St Ste 1r, Stamford, CT 06905-5225 | 2017-10-16 |
1629114376 | Andrew Michael Goldman | Neuromusculoskeletal Medicine & OMM | 106 Upper Main St, Sharon, CT 06069 | 2007-01-29 |
1316995442 | J.michael Herr | Neuromusculoskeletal Medicine & OMM | 45 S Main St Ste 212, West Hartford, CT 06107-2402 | 2006-05-04 |
1861464505 | Walter Witryol | Neuromusculoskeletal Medicine & OMM | 29 Haynes St Ste D, Manchester, CT 06040-4139 | 2006-02-06 |
1093082869 | Michael William Geis | Neuromusculoskeletal Medicine & OMM | 1435 Bedford St, Suite 1 R, Stamford, CT 06905-5246 | 2011-11-22 |
1134411168 | Dennis Cooper Rau Jr. | Neuromusculoskeletal Medicine & OMM | 629 Main St, Portland, CT 06480-1143 | 2011-05-10 |
1962714022 | Tricia Erica Hall | Neuromusculoskeletal Medicine & OMM | 29 Haynes St Ste D, Manchester, CT 06040-4139 | 2010-07-06 |
1205043486 | Michael D Waddington | Neuromusculoskeletal Medicine & OMM | 29 Haynes St Ste D, Manchester, CT 06040-4139 | 2007-05-17 |
1235286949 | Orthopaedic Medicine Associates | Neuromusculoskeletal Medicine & OMM | 435 New Haven Ave, Derby, CT 06418-2534 | 2007-01-04 |
1891705315 | Anne H Flitcraft | Neuromusculoskeletal Medicine & OMM | 131 Coventry Street, Burgdorf Clinic 2nd Floor - Administration, Hartford, CT 06112 | 2006-08-08 |
Find all providers with the same taxonomy |
City | RIDGEFIELD |
Zip Code | 06877 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.