Active NPI
John Mazzei, FNP
- Family Nurse Practitioner
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F339830
- Practice address
- 74 West Cedar St
Poughkeepsie, NY 12601 - Phone
- (845) 454-6174
- Fax
- (845) 454-5371
- NPI assigned
- Sep 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F339830 | NY | Primary |
Addresses
Primary practice location
74 West Cedar St
Poughkeepsie, NY 12601
Mailing address
74 West Cedar St
Poughkeepsie, NY 12601
Phone (845) 454-6174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
243 N Rd
Suite 304
Poughkeepsie, NY 12601-1173
Phone (845) 471-9410
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F339830 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley P.C. | Current | Accepting new patients | |
| Damian Family Care Centers, Inc. | Current | Accepting new patients | |
| Damian Family Care Centers, Inc. | Current | Accepting new patients | |
| Premier Medical Group of the Hudson Valley, P.C. | Current | Accepting new patients |
Locations
8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000
13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
243 North Rd
Ste 101B
Poughkeepsie, NY 12601
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
Interoperability endpoints
- jmazzei@premiermedicalhv.medentdirect.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.
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
-
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1487923595
-
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1508955592
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1265801377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 WEST CEDAR ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-454-6174",
"fax_number": "845-454-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 WEST CEDAR ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-454-6174",
"fax_number": "845-454-5371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZEI",
"first_name": "JOHN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-18",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.