Jennifer Mazurkiewicz Delbroccolo, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

231702 Issued in NY

Practice address

300 Community Dr
Dept of Anesthesia
Manhasset, NY 11030-3816

Phone

(516) 562-4887

NPI assigned

May 25, 2006

Last updated

Sep 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Digestive Healthcare Associates, P.C.

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  • Great Neck, NY
  • NPI 1598952863
  NPD
• Gastrointestinal Care of Long Island PLLC

  dba Allied Digestive Health Medical Group of New York

  • Gastroenterology Physician
  • Massapequa, NY
  • NPI 1265571863
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1417903386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBROCCOLO",
        "first_name": "JENNIFER",
        "middle_name": "MAZURKIEWICZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "231702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02749842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan De Leon, LMSW
• Lorraine Claire Perez De Velez
• Sharon D Deans, M.D. FACOG
• Debra Decarlo, LCSW-R
• Batul Deesawala, MD
• Michelle Claire Dellaquila
• Maria Dello, CN
• Danielle L Delpesce, RPA-C
• Gina Deluca, RD, CDN
• Marissa D Deluca, PA-C

• Anesthesiology Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.