MEDICARE: VINCENT JAMES MASCATELLO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085P0229X	Pediatric Radiology Physician	0101027809	VA
2	2085R0202X	Diagnostic Radiology Physician	0101027809	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124006747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT JAMES MASCATELLO MD

Provider Business Mailing Address
First Line	:	21785 FILIGREE CT
Second Line	:	#101
City	:	ASHBURN
State	:	VA
Zip	:	20147-6214
Country	:	US
Telephone Number	:	703-726-1201
Fax Number	:	703-858-7150

Provider Business Practice Location Address
First Line	:	4001 FAIR RIDGE DR
Second Line	:	#103, FAIR OAKS IMAGING CENTER
City	:	FAIRFAX
State	:	VA
Zip	:	22033-2917
Country	:	US
Telephone Number	:	703-385-5203
Fax Number	:	703-385-3058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1326040569 — DR. CATHERINE M PIPAN M.D.
Practice Location Address:

4001 FAIR RIDGE DR , SUITE 101
FAIRFAX, VA
22033-2917

Practice Phone: 703-385-6789
Practice Fax: 703-352-9409

1215921143 — DR. CAROLE WARREN SEBENICK PH.D.
Practice Location Address:

4001 FAIR RIDGE DR STE 305
FAIRFAX, VA
22033-2917

Practice Phone: 703-362-9313
Practice Fax:

1003802208 — RUSSELL P. SENECA M.D.
Practice Location Address:

4001 FAIR RIDGE DR , SUITE 304
FAIRFAX, VA
22033-2917

Practice Phone: 703-359-8640
Practice Fax: 703-591-6105

1962493866 — SUSAN LEE RUSSO C.N.M.
Practice Location Address:

4001 FAIR RIDGE DR , SUITE 303
FAIRFAX, VA
22033-2917

Practice Phone: 703-359-4842
Practice Fax:

1568447340 — DR. RAY A WERTHEIM M.D
Practice Location Address:

4001 FAIR RIDGE DR , SUITE 301
FAIRFAX, VA
22033-2917

Practice Phone: 703-359-5900
Practice Fax: 703-359-9138

1356327381 — DR. LAURA PICKFORD M.D.
Practice Location Address:

4001 FAIR RIDGE DR , SUITE 301
FAIRFAX, VA
22033-2917

Practice Phone: 703-359-5900
Practice Fax: 703-359-9138

1821076423 — FRANK BERKOWITZ MD
Practice Location Address:

4001 FAIR RIDGE DR , #103, FAIR OAKS IMAGING CENTER
FAIRFAX, VA
22033-2917

Practice Phone: 703-385-5203
Practice Fax: 703-385-3058

Directions to “ VINCENT JAMES MASCATELLO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.