KAITLIN ELIZABETH MASCIELLO PA-C
NPI 1104293661
Physician Assistant - Surgical in Bronx, NY
About Kaitlin Elizabeth Masciello Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN ELIZABETH MASCIELLO PA-C (NPI 1104293661) is an individual surgical provider in Bronx, New York, licensed in New York (018998) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains a secondary practice location in Hackensack.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlin Elizabeth Masciello Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
BRONX, NY 10467
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 Kaitlin Masciello's NPI number?
The NPI number for Kaitlin Masciello is 1104293661. It was assigned to this individual provider in the NPPES registry on August 31, 2015.
Where is Kaitlin Masciello located?
Kaitlin Masciello practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4361.
What is Kaitlin Masciello's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kaitlin Masciello enrolled in Medicare?
Yes. Kaitlin Masciello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kaitlin Masciello affiliated with any hospitals?
According to CMS data, Kaitlin Masciello is affiliated with Hackensack University Medical Center.
When was this NPI record last updated?
The NPPES record for Kaitlin Masciello was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Kaitlin Elizabeth Masciello, PA-C · NPI 1104293661
Surgical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 31, 2015.
## Identity
- **NPI:** 1104293661 (Entity type: Individual)
- **Enumerated:** August 31, 2015
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 018998 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-4361
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104293661) · Data from the CMS NPPES public registry.