Jessica Ann Mazzotta

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2901 216TH St
Bayside, NY 11360-2899

Phone

(718) 281-8800

NPI assigned

Aug 23, 2018

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)

Not enrolled

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1114408564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 AGOR LN",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411324",
            "telephone_number": "845-519-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 216TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602899",
            "telephone_number": "718-281-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOTTA",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgios Mavrolefteros, PSY.D.
• Vasiliki Mavromatis, D.D.S.
• Elaine Maye, LCSW
• Trineisha Maynard
• Marianne Mazza, P.A.
• Gabrielle McCollins
• Kerinna Molly McDonald, O.D.
• Michael Francis McDonough, RPH
• Jennifer McKay
• Wendy McKay, DC

• Speech-Language Pathologist in Bayside, NY
• Providers in Bayside, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.