Michael Anthony Mazza, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

185168 Issued in NY

Practice address

1 Hanson PL
Ste 708
Brooklyn, NY 11243-2900

Phone

(718) 783-5437

Fax

(718) 783-3840

NPI assigned

Jul 19, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIIFAA

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.

• One Hanson Place Pediatrics, PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1497904361
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1083633788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HANSON PL",
            "address_2": "STE 708",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112432900",
            "telephone_number": "718-783-5437",
            "fax_number": "718-783-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HANSON PL",
            "address_2": "STE 708",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112432900",
            "telephone_number": "718-783-5437",
            "fax_number": "718-783-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "185168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01241785",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boris Mazurov, M.D.
• Ella Mazurova, LCSW
• Yelena Mazurskaya, DO
• Katherine Ashley Mazza Cadena, DPT
• Anthony Mazza, LCSW
• Stephanie Ann Mazza, LCSW
• Robert Andrew Mazzarella, RN
• Joseph J. Mazzella, D.C.
• Richard Anthony Mazzella, PT
• Arturo Mazzeo, M.D.

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.