Individual provider Active NPI

Catherine Mazzola, MD

  • Neurological Surgery Physician
  • Morristown, NJ
National Provider Identifier
1295792380
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA06481600 Issued in NJ
Practice address
131 Madison Ave Ste 140
NJ Pediatric Neuroscience Institute
Morristown, NJ 07960-7360
Phone
(973) 326-9000
Fax
(973) 326-9001
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA06481600 NJ Primary

Addresses

Primary practice location

131 Madison Ave Ste 140
NJ Pediatric Neuroscience Institute
Morristown, NJ 07960-7360

Mailing address

131 Madison Ave Ste 140
NJ Pediatric Neurosurgical Associates
Morristown, NJ 07960-7360
Phone (973) 326-9000

Other identifiers 1

IdentifierTypeStateIssuer
0088412MedicaidNJ

Other names 1

  • Catherine Ruebenacker-Mazzola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000138 NJ Practitioner - Neurosurgery 0244203602

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Pediatric Neuroscience Institute LLCGroup PAC ID 8123170222, 3 clinicians

Practice addresses (Care Compare)

131 Madison Ave
FL 3
Morristown, NJ 07960-7360
Phone (973) 326-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Aug 28, 2022 Accepting new patients
Hackensack Specialty Care Associates, PC Neurological Surgery Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1295792380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE STE 140",
            "address_2": "NJ PEDIATRIC NEUROSURGICAL ASSOCIATES",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-326-9000",
            "fax_number": "973-326-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE STE 140",
            "address_2": "NJ PEDIATRIC NEUROSCIENCE INSTITUTE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-326-9000",
            "fax_number": "973-326-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA06481600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088412",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "RUEBENACKER-MAZZOLA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.