Organization Active NPI

Medicare Magician, LLC

  • Durable Medical Equipment & Medical Supplies
  • Washington, DC
National Provider Identifier
1043978075
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICARE MAGICIAN, LLC
Practice address
3112 Legation St NW
Washington, DC 20015-1348
Phone
(202) 415-2935
Fax
(202) 351-0526
NPI assigned
Dec 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Anthony Mazza
Title
Porincipal
Phone
(202) 415-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3112 Legation St NW
Washington, DC 20015-1348

Mailing address

3112 Legation St NW
Washington, DC 20015-1348

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1043978075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 LEGATION ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 LEGATION ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151348",
            "telephone_number": "202-415-2935",
            "fax_number": "202-351-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICARE MAGICIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PORINCIPAL",
        "authorized_official_telephone_number": "202-415-2935"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.