Individual provider Active NPI

Joseph Patrick Mazzie, D.O.

  • Diagnostic Radiology Physician
  • Mineola, NY
National Provider Identifier
1013138825
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
245206 Issued in NY
Practice address
120 Mineola Blvd
Suite 10 Lower Level
Mineola, NY 11501-4073
Phone
(516) 663-4510
Fax
(516) 663-3698
NPI assigned
May 1, 2007
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NJ25MB09990700 NJ
Diagnostic Radiology Physician 2085R0202X H0065390 MD
Diagnostic Radiology Physician 2085R0202X 245206 NY Primary

Addresses

Primary practice location

120 Mineola Blvd
Suite 10 Lower Level
Mineola, NY 11501-4073

Mailing address

PO Box 27686
New York, NY 10087-7686
Phone (888) 220-1235

Other practice location 1

994 W Sherman Ave Bldg 2
Vineland, NJ 08360-6937
Phone (631) 534-7246

Other identifiers 1

IdentifierTypeStateIssuer
412895800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071128000629 NY Practitioner - Diagnostic Radiology 9133211469 Reassigns benefits to 11 organizations
I20240816001992 NJ Practitioner - Diagnostic Radiology 9133211469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

994 W Sherman Ave
Vineland, NJ 08360-6937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H0065390MDMDDiagnostic Radiology Physician
NJ25MB09990700NJMDDiagnostic Radiology Physician
245206NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 15, 2018 Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 23, 2022 Accepting new patients
Pulse Vascular, LLC CurrentSince Jul 15, 2024 Accepting new patients
New York University CurrentSince Mar 15, 2018 Accepting new patients
Optum Urgent Care, PLLC CurrentSince May 16, 2018 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Mar 1, 2020 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Harlem Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 23, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Radiologists of Univ of Rochester Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology Past Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
University Imaging Specialists Diagnostic Radiology Past Accepting new patients
Shipley's Imaging, LLC Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

206 Bergen Ave
Ste 207
Kearny, NJ 07032
Phone (631) 534-7246

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

994 W Sherman Ave
Unit 3
Vineland, NJ 08360
Phone (631) 534-7246

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

120 Mineola Blvd
Ste 10
Mineola, NY 11501
Phone (516) 663-4510

120 Mineola Blvd
Ste 550
Mineola, NY 11501
Phone (516) 663-2400

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

50 Water St
Fl 3
New York, NY 10004

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jmazzie888192@nychhc.direct-ci.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1013138825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27686",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877686",
            "telephone_number": "888-220-1235",
            "fax_number": "865-450-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD",
            "address_2": "SUITE 10 LOWER LEVEL",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014073",
            "telephone_number": "516-663-4510",
            "fax_number": "516-663-3698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "994 W Sherman Ave Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606937",
            "country_code": "US",
            "telephone_number": "631-534-7246",
            "fax_number": "856-457-5681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZIE",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "NJ25MB09990700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "H0065390",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "245206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412895800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.