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DR. THERESA MARIE MASTRONARDI D.O.
NPI 1891082269
Family Medicine in Newburgh, NY

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
147 LAKE ST, NEWBURGH, NY 12550(845) 563-8000 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2019, Jul 12, 2017 (2 updates tracked since 2017).

About Dr. Theresa Marie Mastronardi D.o. NPPES

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

DR. THERESA MARIE MASTRONARDI D.O. (NPI 1891082269) is an individual family medicine provider in Newburgh, New York, licensed in New York (287403) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with St Luke's Cornwall Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2014).

NPPES Registry Identity

NPI1891082269
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THERESA MARIE MASTRONARDICredential: D.O.
Location Address147 LAKE STNewburgh, NY 12550-5263
Mailing Address2570 Route 9w Ste 10Cornwall, NY 12518-1370 · (845) 220-3100 · Fax (845) 534-2940
Phone(845) 563-8000
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2014
Enumeration DateJuly 6, 2011
Last NPPES UpdateJune 5, 20192 updates tracked since enumeration
✔ NPI 1891082269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 287403
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.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 017234-01 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
147 LAKE ST, Newburgh, NY 12550
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Other Identifiers 1

Medicaid04814595NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Theresa Marie Mastronardi D.o. 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.

PECOS PAC ID7315210986
PECOS Enrollment IDI20170901000468
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.

Hospital Affiliations CMS Care Compare

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

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. THEODEAN SMITH-LAWRENCE FNP
Nurse Practitioner (Family)
147 LAKE ST
NEWBURGH, NY 12550
Orange County (845) 563-8000
DR. RYAN DANIEL MESHULAM M.D.
Psychiatry & Neurology (Psychiatry)
147 LAKE ST
NEWBURGH, NY 12550
Orange County (845) 563-8000
MORENIKE JEGEDE
Midwife
147 LAKE ST
NEWBURGH, NY 12550
Orange County (845) 563-8000
CHANCHAL SINGH M.D.
Internal Medicine
147 LAKE ST
NEWBURGH, NY 12550
Orange County (845) 563-8000
DR. COLIN ELVERN WILLIAMS DDS
Dentist (General Practice)
147 LAKE ST
NEWBURGH, NY 12550
Orange County (845) 563-8000
HUDSON VIEW PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
147 LAKE ST, STE 101
NEWBURGH, NY 12550
Orange County (845) 561-4370
MRS. NOELLE MARY ZIEMINS FNP
Nurse Practitioner (Family)
147 LAKE ST
NEWBURGH, NY 12550
Orange County (845) 563-8000
MS. LUCKY KRYSTINE MORALES-LARROSA LCSW
Social Worker (Clinical)
147 LAKE ST
NEWBURGH, NY 12550
Orange County (845) 563-8000

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 Theresa Mastronardi's NPI number?

The NPI number for Theresa Mastronardi is 1891082269. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Theresa Mastronardi located?

Theresa Mastronardi practices at 147 Lake St, Newburgh, NY 12550. The listed phone number is (845) 563-8000.

What is Theresa Mastronardi's specialty?

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

Is Theresa Mastronardi enrolled in Medicare?

Yes. Theresa Mastronardi 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.

What insurance does Theresa Mastronardi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Theresa Mastronardi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Mastronardi affiliated with any hospitals?

According to CMS data, Theresa Mastronardi is affiliated with St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Mastronardi was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.