Individual provider · Type 1 NPI

Kaitlin Elizabeth Masciello, PA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1104293661 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-4361 Map

Mailing address

331 Newman Springs Road, Bldg. 2, Suite 220
Red Bank, NJ 07701

Other practice locations

  • 30 Prospect Ave, Hackensack, NJ 07601-1915 · (551) 996-1288

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X018998 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1104293661

Kaitlin Elizabeth Masciello, PA-C's National Provider Identifier is 1104293661, issued on Aug 31, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Apr 2, 2025.