JODIANNE MATERASSO MSED
NPI 1053674580
Specialist in Pelham, NY
About Jodianne Materasso Msed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODIANNE MATERASSO MSED (NPI 1053674580) is an individual specialist in Pelham, New York, licensed in New York (457081101) and active in the NPI registry since June 2012.
NPPES Registry Identity
Specialties & Licenses
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 Jodianne Materasso's NPI number?
The NPI number for Jodianne Materasso is 1053674580. It was assigned to this individual provider in the NPPES registry on June 19, 2012.
Where is Jodianne Materasso located?
Jodianne Materasso practices at 39 6th St, Pelham, NY 10803. The listed phone number is (914) 755-6373.
What is Jodianne Materasso's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
When was this NPI record last updated?
The NPPES record for Jodianne Materasso was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jodianne Materasso, MSED · NPI 1053674580
Specialist provider in Pelham, New York. Individual provider, active in the CMS NPPES registry since June 19, 2012.
## Identity
- **NPI:** 1053674580 (Entity type: Individual)
- **Enumerated:** June 19, 2012
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 457081101 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 6TH ST, Pelham, NY 10803-1140
- **Phone:** (914) 755-6373
## Record status
- **NPPES last updated:** June 19, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1053674580) · Data from the CMS NPPES public registry.