MR. SEAN MICHAEL MASSARO (NPI# 1407147408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407147408 |
| Entity Type | Individual |
| Full Name | MR. SEAN MICHAEL MASSARO |
| Credential | EMT-BASIC |
| Practice Address |
128 Winslow Terrace Glen Rock NJ 07452-2912 |
| Practice Telephone | 2014584106 |
| Mailing Telephone | 2014584106 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 583541 | NJ | Emergency Medical Service Providers |
| Street Address |
128 WINSLOW TERRACE |
| City | GLEN ROCK |
| State | NJ |
| Zip Code | 07452-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566134 | Silverio Joseph Bumanlag | Physical Therapist | 251 Rock Road, Suite 2c, Glen Rock, NJ 07452 | 2017-08-31 |
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1306389457 | Rock Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 251 Rock Rd Ste 2e, Glen Rock, NJ 07452 | 2016-11-22 |
| 1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
| 1083030225 | Kristopher D Paik | Dentist | Ridgewood Oral Surgery & Implant Center, 385 S. Maple Ave Ste 207, Glen Rock, NJ 07452 | 2014-03-12 |
| 1497016158 | Patricia A. Woods | Counselor | 849 Lincoln Avenue, Glen Rock, NJ 07452 | 2012-05-30 |
| 1114284239 | Eileen Kringle Mc Auley | Physical Therapist | 522 Broad Street, Glen Rock, NJ 07452 | 2012-04-13 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1649426479 | Adam Avitabile | Physician Assistant | 208 Harristown Rd # Ll-2, Glen Rock, NJ 07452 | 2008-08-12 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| Find all providers in zip 07452 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715430 | Christian Angelo Ventura | Emergency Medical Technician, Basic | 3150 Brunswick Ave, Lawrenceville, NJ 08648-2420 | 2020-09-20 |
| 1447888995 | Ohene Offei | Emergency Medical Technician, Basic | 126 Paterson St, New Brunswick, NJ 08901-1961 | 2020-03-31 |
| 1912560319 | Lucy Zhu | Emergency Medical Technician, Basic | 19 Birch Dr, Plainsboro, NJ 08536-1951 | 2019-04-22 |
| 1316405384 | Keith Phillips | Emergency Medical Technician, Basic | 39 Wilbur Ave, Newark, NJ 07112-2311 | 2019-03-07 |
| 1265928139 | Amro H Dafeella | Emergency Medical Technician, Basic | 626 Central Ave Ste 5, East Orange, NJ 07018-1438 | 2018-07-03 |
| 1609305275 | Hatzalah Emergency Medical Services of The Jersey Shore A Nj Nonprofit | Emergency Medical Technician, Basic | 167 Monmouth Rd, Oakhurst, NJ 07755-1566 | 2017-06-07 |
| 1033656616 | William J Galese | Emergency Medical Technician, Basic | 1839 County Rd 565, Glenwood, NJ 07418-1048 | 2017-01-20 |
| 1558803866 | Tawana James | Emergency Medical Technician, Basic | 9-23 8th Ave, Passaic, NJ 07055-2151 | 2016-11-17 |
| 1760842116 | Mohammed Ateeli | Emergency Medical Technician, Basic | 383 Park Ave, 1st Floor, Fairview, NJ 07022-1116 | 2016-02-27 |
| 1316312861 | Quawi Hendrick | Emergency Medical Technician, Basic | 39 Kearny St, Newark, NJ 07104-2611 | 2015-12-09 |
| Find all providers with the same taxonomy | ||||
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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.