Active NPI
Julia Mazza, MS, RD
- Registered Dietitian
- Oneonta, NY
National Provider Identifier
1417462235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01017262
- Practice address
- 1 Foxcare Dr
Oneonta, NY 13820-2099 - Phone
- (607) 431-5181
- NPI assigned
- Dec 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01017262 | NY | Primary |
Addresses
Primary practice location
1 Foxcare Dr
Oneonta, NY 13820-2099
Mailing address
800 Brooker Hollow Rd
Richmondville, NY 12149-4104
Other practice location 1
1 Norton Ave
Oneonta, NY 13820-2629
Phone (607) 431-5745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01017262 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1417462235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BROOKER HOLLOW RD",
"city": "RICHMONDVILLE",
"state": "NY",
"postal_code": "121494104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FOXCARE DR",
"city": "ONEONTA",
"state": "NY",
"postal_code": "138202099",
"telephone_number": "607-431-5181"
}
],
"practiceLocations": [
{
"address_1": "1 Norton Ave",
"address_purpose": "LOCATION",
"city": "Oneonta",
"state": "NY",
"postal_code": "138202629",
"country_code": "US",
"telephone_number": "607-431-5745",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZZA",
"first_name": "JULIA",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "01017262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oneonta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.