Jamie Mazzarelli

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

D3617 Issued in NJ

Practice address

1030 Saint Georges Ave Ste 100
Avenel, NJ 07001-1330

Phone

(732) 750-0800

Fax

(732) 750-4430

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1295444651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE STE 100",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011330",
            "telephone_number": "732-750-0800",
            "fax_number": "732-750-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE STE 100",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011330",
            "telephone_number": "732-750-0800",
            "fax_number": "732-750-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARELLI",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NJ",
            "license": "D3617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marc Mandel MD PC
• Fatima A Masumova, DO
• Shannon McGinn, MA
• Justin Thomas McTish, OTD, OTR/L, CAPS
• Medigest Associates PA
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• Heaven Medina

• Ophthalmic Technician/Technologist in Avenel, NJ
• Providers in Avenel, NJ by specialty
• Ophthalmic Technician/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.