Jason Mazzarella, D.C., F.I.A.M.A.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

0104556439 Issued in VA

Practice address

7806 Sudley Rd
Suite 205
Manassas, VA 20109-2859

Phone

(571) 309-6546

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386791820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11290 CHATTERLY LOOP",
            "address_2": "#203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201097861",
            "telephone_number": "571-309-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 SUDLEY RD",
            "address_2": "SUITE 205",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092859",
            "telephone_number": "571-309-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARELLA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C., F.I.A.M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104556439",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC009617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene Xavier Maya, M.D.
• Jessica L Maybar
• Jessica Lynn Mayes, LPC
• Dina Mazeas, O.D.
• Pamela Victoria Mazmanian, RPH
• Kenneth Mbuen
• Donna McAllister, LCSW
• Ryan McBroom
• Asia McCants, ATC
• Rachael McCarthy, NURSE PRACTITIONER

• Rehabilitation Chiropractor in Manassas, VA
• Providers in Manassas, VA by specialty
• Rehabilitation Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.