Patricia Michelle Mazzullo, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

57 002415 Issued in NY

Practice address

4954 N Palmer Rd BLDG 195TH
Bethesda, MD 20889-5630

Phone

(301) 295-7820

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• ENT and Allergy Associates LLP

  • Otolaryngology Physician
  • Tarrytown, NY
  • NPI 1376598326
  NPD (past)
• Gregory Levitin MD PC

  • Otolaryngology Physician
  • New York, NY
  • NPI 1750608253
  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1104189133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD BLDG 195TH",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-295-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD BLDG 195TH",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-295-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZULLO",
        "first_name": "PATRICIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "57 002415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Vahid Mazza, DDS, CAGS
• Judith Mazza, PH.D.
• Josefine Mazzaferri, LCSW-C AND LICSW
• Robert Mazziotta, D.D.S.
• Sara Elizabeth Mazzoni, MD
• Tianna Mbadugha, FNP
• Mbi Health Services MD LLC
• Mbi Health Services Virginia LLC
• Maurice L McBride, IDC
• Kevin D McBryde, MD

• Audiologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.