Individual provider Active NPI

Mia Strazzeri, DO

  • Family Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1306856612
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB72812 Issued in NJ
Practice address
443 Shore Rd FL 2
Somers Point, NJ 08244-2642
Phone
(609) 407-7747
NPI assigned
Aug 9, 2006
Last updated
Apr 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X OS-009610L PA
Family Medicine Physician 207Q00000X MB72812 NJ Primary

Addresses

Primary practice location

443 Shore Rd FL 2
Somers Point, NJ 08244-2642

Mailing address

443 Shore Rd
Somers Point, NJ 08244-2642
Phone (609) 407-7747

Other practice location 1

2682 Welsh Rd
Philadelphia, PA 19152-1548
Phone (215) 464-0816

Other identifiers 1

IdentifierTypeStateIssuer
260387805OtherPATAX ID

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
I20180518001519 NJ Practitioner - Family Practice 1850527540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient Care Medical Group PCGroup PAC ID 8022413459, 30 clinicians

Practice addresses (Care Compare)

26 Main St
Edison, NJ 08837-3418
Phone (212) 734-6621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-009610LPAMDLegal Medicine
MB72812NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince May 27, 2018 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
Atlanticare Physician Group CurrentSince May 27, 2018 Accepting new patients
Patient Care Medical Group PC CurrentSince Mar 9, 2025 Accepting new patients
Dorfner Family Medicine LLC PastSince Aug 17, 1990 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Jefferson University Physicians Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

151 9th Ave
Little Egg Harbor Twp, NJ 08087
Phone (609) 294-3200

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1601 Tilton Rd
Northfield, NJ 08225
Phone (609) 407-1600

443 Shore Rd
Somers Point, NJ 08244
Phone (609) 569-7830

443 Shore Rd
Fl 2
Somers Point, NJ 08244
Phone (609) 407-7747

Interoperability endpoints

  • Direct secure messaging: mia.strazzeri.1@29107.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1306856612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442642",
            "telephone_number": "609-407-7747",
            "fax_number": "609-407-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SHORE RD FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442642",
            "telephone_number": "609-407-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2682 Welsh Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191521548",
            "country_code": "US",
            "telephone_number": "215-464-0816",
            "fax_number": "215-464-0816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAZZERI",
        "first_name": "MIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PA",
            "license": "OS-009610L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB72812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "260387805",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.