JUDITH M. MASCOLO, MD, LLC
NPI 1043406812
Family Medicine in West Hartford, CT

Active since September 14, 2007
639 PARK RD, STE 100, WEST HARTFORD, CT 06107(860) 233-4600(860) 233-4604 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judith M. Mascolo, Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH M. MASCOLO, MD, LLC (NPI 1043406812) is a healthcare organization registered as a family medicine in West Hartford, Connecticut and active in the NPI registry since September 2007. The organization lists Judith M Mascolo, Owner, as its authorized official.

NPPES Registry Identity

NPI1043406812
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJUDITH M. MASCOLO, MD, LLC
Location Address639 PARK RD, STE 100West Hartford, CT 06107-3443
Mailing Address639 Park Rd Ste 100West Hartford, CT 06107-3443 · (860) 233-4600 · Fax (860) 233-4604
Fax(860) 233-4604
Organization SubpartNo
Authorized OfficialJudith M MascoloOwner · (860) 233-4600
Enumeration DateSeptember 14, 2007
Last NPPES UpdateApril 28, 2014
NPI 1043406812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CT · 036592
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

639 PARK RD, West Hartford, CT 06107

Other Identifiers 1

Medicare UPINC03786CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Internal Medicine
639 PARK RD, 2ND FLOOR
WEST HARTFORD, CT 06107
Counselor (Mental Health)
639 PARK RD
WEST HARTFORD, CT 06107
Specialist
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Ophthalmology
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Internal Medicine
639 PARK RD
WEST HARTFORD, CT 06107
Family Medicine
639 PARK RD, SUITE 100
WEST HARTFORD, CT 06107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith M. Mascolo, MD, LLC's NPI number?

The NPI number for Judith M. Mascolo, MD, LLC is 1043406812. It was assigned to this organization in the NPPES registry on September 14, 2007.

Where is Judith M. Mascolo, MD, LLC located?

Judith M. Mascolo, MD, LLC is located at 639 Park Rd Ste 100, West Hartford, CT 06107. The listed phone number is (860) 233-4600.

What is Judith M. Mascolo, MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Judith M. Mascolo, MD, LLC was last updated on April 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.