Active NPI
Colleen T Mazzoni, CRNA
- Certified Registered Nurse Anesthetist
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NR10764400
- Practice address
- 1505 W Sherman Ave
Vineland, NJ 08360-6912 - Phone
- (302) 709-4497
- Fax
- (302) 733-0854
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR10764400 | NJ | Primary |
Addresses
Primary practice location
1505 W Sherman Ave
Vineland, NJ 08360-6912
Mailing address
PO Box 8500
Philadelphia, PA 19178-8500
Phone (302) 709-4497
Other names 1
- Colleen T McGovern
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE, PA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Twin C LN
Suite 200
Newark, DE 19713-2142
Phone (302) 683-0700
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-8000
901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shrewsbury Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| South Jersey Anesthesia and Pain Physicians PC | Current | Accepting new patients | |
| Delaware Center for Digestive Care LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NCB Anesthesia Associates, LLC | Current | Accepting new patients | |
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| West Jersey Anesthesia Associate PA | Current | Accepting new patients | |
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713
Phone (302) 452-3000
1000 Twin C Ln
Ste 200
Newark, DE 19713
Phone (302) 683-0700
537 Stanton Christiana Rd
Ste 203
Newark, DE 19713
Phone (302) 225-2380
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000
655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000
405 Bethel Rd
Somers Point, NJ 08244
Phone (609) 601-7600
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
1133 E Chestnut Ave
Vineland, NJ 08360
Phone (609) 507-0800
1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808
200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
1000 N Broad St
Lansdale, PA 19446
Phone (215) 368-1646
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Anesthesiology Physician
- Newark, DE
- NPI 1962102582
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
-
- Anesthesiology Physician
- Woodbury, NJ
- NPI 1700821352
-
- Anesthesiology Physician
- Marlton, NJ
- NPI 1609861947
-
- Gastroenterology Physician
- Newark, DE
- NPI 1558722561
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
- Anesthesiology Physician
- Pottsville, PA
- NPI 1073789244
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1043469398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191788500",
"telephone_number": "302-709-4497",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W SHERMAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606912",
"telephone_number": "302-709-4497",
"fax_number": "302-733-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZONI",
"first_name": "COLLEEN",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR10764400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "MCGOVERN",
"middle_name": "T",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.