Active NPI
Catherine Mazzola, MD
- Neurological Surgery Physician
- Morristown, NJ
National Provider Identifier
1295792380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 25MA06481600
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088412 | Medicaid | NJ |
Other names 1
- Catherine Ruebenacker-Mazzola
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | 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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Neonatal-Perinatal Medicine Physician
- Hackensack, NJ
- NPI 1528011194
Neurological Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.