Organization Active NPI

Dominic Mazzocchi MD LLC

  • Internal Medicine Physician
  • Point Pleasant, NJ
National Provider Identifier
1255485124
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOMINIC MAZZOCCHI MD LLC
Practice address
1401 Beaver Dam Rd
Point Pleasant, NJ 08742-4970
Phone
(732) 295-0808
Fax
(732) 295-3845
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Dominic F Mazzocchi, MD
Title
MD Owner
Phone
(732) 295-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1401 Beaver Dam Rd
Point Pleasant, NJ 08742-4970

Mailing address

1401 Beaver Dam Rd
Point Pleasant, NJ 08742-4970
Phone (732) 295-0808

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2198196Dominic Mazzocchi, MD1401 Beaver Dam Road, Point Pleasant, NJ 08742Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory

Locations

1401 Beaver Dam Rd
Ste 2
Point Pleasant Boro, NJ 08742
Phone (732) 295-0808

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1255485124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BEAVER DAM RD",
            "city": "POINT PLEASANT",
            "state": "NJ",
            "postal_code": "087424970",
            "telephone_number": "732-295-0808",
            "fax_number": "732-295-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BEAVER DAM RD",
            "city": "POINT PLEASANT",
            "state": "NJ",
            "postal_code": "087424970",
            "telephone_number": "732-295-0808",
            "fax_number": "732-295-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC MAZZOCCHI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MAZZOCCHI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "732-295-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.