Active NPI
Dominic Mazzocchi MD LLC
- Internal Medicine Physician
- Point Pleasant, NJ
National Provider Identifier
1255485124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2198196 | Dominic Mazzocchi, MD | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.