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General NPI Number Information
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NPI Number | 1972868289
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Entity Type | Individual
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Provider Name | KAREN MASCOLO CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 12 LONGVIEW DR
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City | WHIPPANY
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State | NJ
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Zip | 07981-2024
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Country | US
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Telephone | 973-714-3984
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Fax |
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Provider Business Mailing Address
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Address Line | 480 MAIN ST APT 4H
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City | NEW YORK
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State | NY
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Zip | 10044-0407
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Country | US
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Telephone | 973-714-3984
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NJ00842700
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License Number State | NJ
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