Bracha Mazin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00114100 Issued in NJ

Practice address

160 Overlook Ave Ste 1a
Hackensack, NJ 07601-2285

Phone

(201) 645-4336

Fax

(201) 917-1452

NPI assigned

Sep 27, 2011

Last updated

Feb 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Overlook Pain & Recovery LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hackensack, NJ
  • NPI 1689130163
  Authorized official Same address or phone

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1053694919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 OVERLOOK AVE STE 1A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012285",
            "telephone_number": "201-645-4336",
            "fax_number": "201-917-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OVERLOOK AVE STE 1A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012285",
            "telephone_number": "201-645-4336",
            "fax_number": "201-917-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZIN",
        "first_name": "BRACHA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00114100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Maye, APN-C
• Adam Seth Mayer, MD
• Janae Mayo, DPT
• Miguel Angel Mayorga, D.P.T.
• Sharon Maza, M.D.
• Annmarie Mazzeo, APNC
• Julia Mazzotta, FNP-C
• Juliana Mazzotta
• Stacey Marie McArdle, APN
• Connor John McAuley, PA-C

• Medical Physician Assistant in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.