Douglas Edward Mazzuca, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MB04899600 Issued in NJ

Practice address

48 N Broadway
Pennsville, NJ 08070-1754

Phone

(856) 678-4800

Fax

(856) 678-3630

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Ophthalmology

Education

Philadelphia College of Osteopathic Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mazzuca Eye and Laser Centers,PAGroup PAC ID 5698775906, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.17 of 100Reported as group

Quality

89.37

Promoting interoperability

96

Improvement activities

40

Cost

87.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clinical@drmazzuca.directbygreenway.com

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

• Mazzuca Eye and Laser Centers,PA

  • Ophthalmology Physician
  • Pennsville, NJ
  • NPI 1942255831
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1033109848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701754",
            "telephone_number": "856-678-4800",
            "fax_number": "856-678-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N BROADWAY",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701754",
            "telephone_number": "856-678-4800",
            "fax_number": "856-678-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZUCA",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB04899600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING ENGINEERS 825",
            "identifier": "342",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0105577000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223485583",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "SA000004901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "180030900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "55179",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "223485583",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcellus A Maiatico, MD
• Main Street Dental - Pennsville
• Mark Giorno DMD & Associate PA
• Mazzuca Eye and Laser Centers
• Mazzuca Eye and Laser Centers,PA
• Douglas Edward Mazzuca Jr., D.O.
• Bridgett Elizabeth McCaffery O'Brien
• John C McKenzie, PT
• Medexpress Urgent Care - New Jersey, Inc
• Elizabeth Mesogianes, MT-BC

• Ophthalmology Physician in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.