Organization Active NPI

Joseph Mazzei PLLC

Doing business as BodyLogicMD of Phoenix-Chandler

  • Clinic/Center
  • Chandler, AZ
National Provider Identifier
1013494327
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
007596 Issued in AZ
Legal business name
JOSEPH MAZZEI PLLC
Doing business as
BodyLogicMD of Phoenix-Chandler
Practice address
4322 S Gardenia Dr
Chandler, AZ 85248-0089
Phone
(312) 608-4086
NPI assigned
Jul 20, 2018
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Dr. Joseph Mazzei, DONPI 1548276991
Title
Owner
Phone
(312) 608-4086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 007596 AZ Primary

Addresses

Primary practice location

4322 S Gardenia Dr
Chandler, AZ 85248-0089

Mailing address

4322 S Gardenia Dr
Chandler, AZ 85248-0089
Phone (312) 608-4086

Other names 1

  • BodyLogicMD of Phoenix-Chandler Doing business as

National Provider Directory

National Provider Directory

Locations

3120 N Arizona Ave
Ste 103
Chandler, AZ 85225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1013494327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 S GARDENIA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480089",
            "telephone_number": "312-608-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 S GARDENIA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480089",
            "telephone_number": "312-608-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MAZZEI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-608-4086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "007596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Phoenix-Chandler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.