Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Massaro

Individual provider Physician Assistant · NPI 1780216432

Jeffrey Massaro is a Physician Assistant in Tampa, Florida. Qualified in 2018, 8 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

1211 E Kennedy Blvd Unit 530
Tampa, FL 33602-3783
Phone: (718) 759-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024681 (NY)

Record details

NPI number1780216432
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2020
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address1211 E Kennedy Blvd Unit 530, Tampa, FL 33602-3783

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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