DR. DOMENICO CARMINE MASTANDREA (NPI# 1013236389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013236389 |
| Entity Type | Individual |
| Full Name | DR. DOMENICO CARMINE MASTANDREA |
| Credential | D.O. |
| Practice Address |
45 Reade Pl Poughkeepsie NY 12601-3947 |
| Mailing Address |
47 Oakbrook Ln Lagrangeville NY 12540-6236 |
| Practice Telephone | 8454315680 |
| Mailing Telephone | 8452386260 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 264301 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03612993 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4422 3rd Ave, Bronx, NY 104572545 | 7189609000 |
| Street Address |
45 READE PL |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448185 | Vlad Frenk | Anesthesiology | 45 Reade Pl, Poughkeepsie, NY 12601 | 2005-06-27 |
| 1427664184 | Alley Nicole O'farrell | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-09-18 |
| 1215556279 | Katherine Paola Acosta | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-10 |
| 1891314852 | Nahal G Nikroo | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-10 |
| 1275162463 | Andrew John Kehrer | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-08 |
| 1831728237 | Jennifer Lackaye | Registered Nurse | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-07 |
| 1427687995 | Jeffrey David Crawford | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-06 |
| 1598394231 | Joseph Jose Kuruvilla | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-04 |
| 1285263061 | Laryssa Do Ouro-rodrigues | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-03 |
| 1770112807 | Jude Igboanusi | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437622057 | Anthony J Bacchi Medicine, Pllc | Emergency Medicine | 2628 South Rd, Poughkeepsie, NY 12601-5398 | 2019-01-07 |
| 1205971215 | Yong Kwok | Emergency Medicine | 45 Read Pl, Poughkeepsie, NY 12601 | 2007-02-20 |
| 1518912260 | Francine H Brooks | Emergency Medicine | 21 Fox St, Suite 103, Poughkeepsie, NY 12601 | 2006-05-23 |
| 1356348734 | Mary L. Dunne | Emergency Medicine | 45 Reade Pl Fl 3, Poughkeepsie, NY 12601 | 2005-06-30 |
| 1063891844 | Midhudson Emergency Physician Services, Pllc | Emergency Medicine | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2015-05-26 |
| 1174941256 | Health Quest Medical Practice | Emergency Medicine | 21 Fox St, Suite 104, Poughkeepsie, NY 12601-4724 | 2014-04-04 |
| 1407143936 | Steven Robles | Emergency Medicine | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-07-05 |
| 1629309224 | Psyche V.k. Robert-gibbs | Emergency Medicine | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2010-01-21 |
| 1265677694 | Tessa Ndille | Emergency Medicine | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2008-12-15 |
| 1346403102 | Matthew David Heslinga | Emergency Medicine | 241 North Rd., Poughkeepsie, NY 12601 | 2008-07-02 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
Please comment or provide details below to improve the information on DR. DOMENICO CARMINE MASTANDREA.
| 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.