Donna Michele Mazyck, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00620700 Issued in NJ

Practice address

1221 N Church St Ste 103-D
Moorestown, NJ 08057-1245

Phone

(609) 847-0538

NPI assigned

Feb 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Seto Medical Providers,LLC

  dba Seto Medical Providers

  • Internal Medicine Physician
  • West Deptford, NJ
  • NPI 1922299288

  Obesity Medicine

  Medicare reassignment NPD
• DMM Medical Consulting Group LLC

  • Internal Medicine Physician
  • Turnersville, NJ
  • NPI 1174130835
  Authorized official Same address or phone
• Absolute Outcomes, LLC

  • Internal Medicine Physician
  • Monroe, CT
  • NPI 1073746202
  NPD (past)

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1316306269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST STE 103-D",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "609-337-2211",
            "fax_number": "609-543-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N CHURCH ST STE 103-D",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571245",
            "telephone_number": "609-847-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZYCK",
        "first_name": "DONNA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NJ",
            "license": "26NJ00620700",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "26NJ00620700",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "26NJ00620700",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NJ",
            "license": "26NJ00720700",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "26NJ00620700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP015914",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00620700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Massari
• Mindy Massry, PHARMD
• Stefan Joseph Mathews, MD
• Adriana Matos, PHARMD
• Caroline Mayo, PHARM D.
• Sarah McAndrew
• Joseph W McBride Jr., D.C.
• Catherine Kelly McCrane, MA, LPC, NCC
• Jamie McCulloh-Martin, PT
• Elaine J McCullough, LCSW

• Adult Health Nurse Practitioner in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.