Individual provider Active NPI

Ronald P Mazza, D.C.

  • Chiropractor
  • Farmingdale, NY
National Provider Identifier
1326223967
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3934 Issued in NY
Practice address
56A Motor Ave
Farmingdale, NY 11735-4038
Phone
(516) 752-1910
Fax
(516) 752-1914
NPI assigned
Jan 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X3934 NY Primary

Addresses

Primary practice location

56A Motor Ave
Farmingdale, NY 11735-4038

Mailing address

56A Motor Ave
Farmingdale, NY 11735-4038
Phone (516) 752-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000606 NY Practitioner - Chiropractic 4587746847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1570 Old Country Rd
Westbury, NY 11590-5238
Phone (516) 338-0412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X3934NYMDChiropractor
003934NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ronald P. Mazza, DC, PC Chiropractor CurrentSince May 7, 1997 Accepting new patients
Li Chiro and Rehab PLLC Chiropractor PastSince Oct 1, 2008 Accepting new patients

Locations

2751 27th St
Astoria, NY 11102
Phone (718) 728-0612

1570 Old Country Rd
Westbury, NY 11590
Phone 5163380412312

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1326223967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56A MOTOR AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354038",
            "telephone_number": "516-752-1910",
            "fax_number": "516-752-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56A MOTOR AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354038",
            "telephone_number": "516-752-1910",
            "fax_number": "516-752-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "RONALD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.