NATASHA MASUB MD
NPI 1205416880
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 08, 2021PECOS Enrolled
450 CLARKSON AVE # MSC46, BROOKLYN, NY 11203(718) 270-1229(520) 363-6196 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Natasha Masub Md NPPES

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

NATASHA MASUB MD (NPI 1205416880) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Woodhull Medical & Mental Health Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205416880
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNATASHA MASUBCredential: MD
Location Address450 CLARKSON AVE # MSC46Brooklyn, NY 11203-2012
Mailing Address888 Old Country RdPlainview, NY 11803-4914
Fax(520) 363-6196
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1205416880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE # MSC46, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natasha Masub Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375048465
PECOS Enrollment IDI20251120002868
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Natasha Masub reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Skilled Nursing Facility
594 ALBANY AVE
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
Dermatology
1010 NORTHERN BLVD, SUITE 120
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Woodhull Medical & Mental Health Center

Acute Care Hospitals · Brooklyn, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330396
Location760 BroadwayBrooklyn, NY 11206 · Kings County
Emergency services Birthing friendly

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 Natasha Masub's NPI number?

The NPI number for Natasha Masub is 1205416880. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Natasha Masub located?

Natasha Masub practices at 450 Clarkson Ave # Msc46, Brooklyn, NY 11203. The listed phone number is (718) 270-1229.

What is Natasha Masub's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Natasha Masub enrolled in Medicare?

Yes. Natasha Masub is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Natasha Masub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natasha Masub reassigns Medicare benefits to 2 organizations: New York City Health And Hospitals Corporation (Brooklyn, NY) and Wesson Dermatology, PC (Great Neck, NY). Each 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 Natasha Masub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Natasha Masub affiliated with any hospitals?

According to CMS data, Natasha Masub is affiliated with Woodhull Medical & Mental Health Center.

When was this NPI record last updated?

The NPPES record for Natasha Masub was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.