Individual provider Active NPI

Colleen T Mazzoni, CRNA

  • Certified Registered Nurse Anesthetist
  • Vineland, NJ
National Provider Identifier
1043469398
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NR10764400 Issued in NJ
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

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090114000032 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800959040 Reassigns benefits to 5 organizations
I20160815000606 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800959040 Reassigns benefits to 2 organizations
I20190516002058 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800959040 Reassigns benefits to 2 organizations

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
NCB Anesthesia Associates, LLCGroup PAC ID 1557726130, 17 clinicians
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

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

OrganizationSpecialtyStatusNew patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Dec 1, 2025 Accepting new patients
South Jersey Anesthesia and Pain Physicians PC CurrentSince Jan 1, 2020 Accepting new patients
Delaware Center for Digestive Care LLC CurrentSince Jun 25, 2019 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 27, 2019 Accepting new patients
NCB Anesthesia Associates, LLC CurrentSince Apr 15, 2023 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Sep 1, 2018 Accepting new patients
West Jersey Anesthesia Associate PA CurrentSince Feb 1, 2015 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.