Matthew Mark Mizzoni, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1026843 Issued in MA

Practice address

19 Pierce Ave
Fitchburg, MA 01420-7160

Phone

(978) 577-0437

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181
  NPD (past)
• Pediatrics West, PC

  • Pediatrics Physician
  • Westford, MA
  • NPI 1598850281
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1285364026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PIERCE AVE",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207160",
            "telephone_number": "978-577-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PIERCE AVE",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207160",
            "telephone_number": "978-577-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZZONI",
        "first_name": "MATTHEW",
        "middle_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1026843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Okalani Milner, O.D.
• Mary Elizabeth Anne Miotto, MD
• Sharon Ann Mirovich, D.C.
• Jennifer Lauren Mis, MA INTERN
• Kathleen F. Mixon, M.S., LMHC
• Ashley Rose Mlodzinski
• Melchizedek Moise
• Kayla A Molai, B.A.
• Ashley N Molina, LPN
• Irina S Molla, RN

• Pediatrics Physician in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.