Fernande Mazile, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33338922 Issued in NY

Practice address

7428 87TH Ave
Woodhaven, NY 11421-1836

Phone

(347) 969-1624

NPI assigned

Jun 3, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1174843908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 87TH AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211836",
            "telephone_number": "347-969-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7428 87TH AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211836",
            "telephone_number": "347-969-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZILE",
        "first_name": "FERNANDE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33338922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174843908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalimar Mariano, PT
• Leslie Martinez, M.S. ED/ SP ED
• Maria Teresa Martinez, LSW
• Igor Matatov, PHARM.D
• Ruperto Maura, L.M.T.
• Crystal Mendez, OTR/L
• Metropolitan Dentistry P.C.
• Metrosound Audiology PC.
• Salvatore Migliorisi, B.S
• Mike'S Vip Transportation, Inc.

• Family Nurse Practitioner in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.