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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: October 18, 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
Phone(860) 233-4600
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
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith M. Mascolo, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Judith M. Mascolo, MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Judith Mascolo, M.D.
Family Practice
NPI 1972641801
639 PARK RD SUITE 100
West Hartford, CT 06107
(860) 233-4600
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Judith M. Mascolo, MD, LLC enrolled in Medicare?

Yes. Judith M. Mascolo, MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Judith M. Mascolo, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Judith M. Mascolo, MD, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.