Individual provider Active NPI

Jeffrey Albert Mazzatta, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manahawkin, NJ
National Provider Identifier
1417059304
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00239800 Issued in NJ
Practice address
1145 Beacon Ave
Manahawkin, NJ 08050-2471
Phone
(609) 597-6688
Fax
(609) 597-9907
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00239800 NJ Primary

Addresses

Primary practice location

1145 Beacon Ave
Manahawkin, NJ 08050-2471

Mailing address

1145 Beacon Ave
Manahawkin, NJ 08050-2471
Phone (609) 597-6688

Other identifiers 6

IdentifierTypeStateIssuer
P1134962OtherNJOXFORD
0334976000OtherNJAMERIHRALTH
7877901MedicaidNJ
F17428OtherNJHEALTHNET
1743236OtherNJUNITED HEALTHCARE
6318233004OtherNJCIGNA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000530 NJ Practitioner - Podiatry 9335156777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achilles Foot and Ankle Associates, P.a.Group PAC ID 2163439506, 2 clinicians

Practice addresses (Care Compare)

44 E Jimmie Leeds Rd
Suite 102
Galloway, NJ 08205-9599
Phone (609) 748-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue322
Removal of skin lesions13
Removal of nail tissue897
Removal or shaving of skin growth167
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00239800NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Achilles Foot and Ankle Associates, P.a. Foot & Ankle Surgery CurrentSince Sep 26, 1997 Accepting new patients

Locations

44 E Jimmie Leeds Rd
Ste 102
Galloway, NJ 08205
Phone (609) 242-6999

1145 Beacon Ave
Ste B
Manahawkin, NJ 08050
Phone (609) 597-5516

1145 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-1991

Interoperability endpoints

  • Direct secure messaging: jmazzatta@afaaap-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1417059304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502471",
            "telephone_number": "609-597-6688",
            "fax_number": "609-597-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502471",
            "telephone_number": "609-597-6688",
            "fax_number": "609-597-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZATTA",
        "first_name": "JEFFREY",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00239800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1134962",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHRALTH",
            "identifier": "0334976000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7877901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F17428",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1743236",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6318233004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.