Individual provider Active NPI

Carrie Eng-Mazur, MSN, WHNP-BC

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1215435268
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00763000 Issued in NJ
Practice address
139 Centre St PH 120
New York, NY 10013-4559
Phone
(888) 731-8994
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 26NJ00763000 NJ
Women's Health Nurse Practitioner 363LW0102X 26NJ00763000 NJ Primary

Addresses

Primary practice location

139 Centre St PH 120
New York, NY 10013-4559

Mailing address

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (888) 731-8994

Other practice location 1

429 4th Ave Fl 7
Pittsburgh, PA 15219-1500
Phone (888) 731-8994

Other practice location 2

708 Station Ave
Haddon Heights, NJ 08035-1647
Phone (856) 567-5316

Other practice location 3

555 High St Ste 9
Mount Holly, NJ 08060-1062
Phone (856) 567-5316

Other practice location 4

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 5

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180306001048 NJ Practitioner - Nurse Practitioner 7517228661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eon Care Clinicians of NJ PCGroup PAC ID 3971029778, 3 clinicians

Practice addresses (Care Compare)

708 Station Ave
Haddon Heights, NJ 08035-1647
Phone (240) 778-6164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00763000NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuven8 Hydration & Aesthetics Women'S Health Current Accepting new patients
Eon Care Clinicians of NJ, PC CurrentSince Oct 31, 2025 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Jan 14, 2018 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Jan 14, 2018 Accepting new patients

Locations

20451 Seneca Meadows Pkwy
Germantown, MD 20876
Phone (301) 515-2760

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

708 Station Ave
Haddon Hgts, NJ 08035
Phone (856) 281-7227

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

555 High St
Ste 9
Mount Holly, NJ 08060
Phone (215) 214-9895

Interoperability endpoints

  • Direct secure messaging: carrie.eng-mazur@335000925634564.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1215435268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GATEWAY CTR STE 2600",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025323",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST PH 120",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134559",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 4th Ave Fl 7",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191500",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 Station Ave",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351647",
            "country_code": "US",
            "telephone_number": "856-567-5316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 High St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601062",
            "country_code": "US",
            "telephone_number": "856-567-5316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENG-MAZUR",
        "first_name": "CARRIE",
        "credential": "MSN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NJ00763000",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00763000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.