Active NPI
Arlene Mazzella, P.A.
- Physician Assistant
- Fresh Meadows, NY
National Provider Identifier
1437308582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004684
- Practice address
- 17660 Union Tpke
Suite 360
Fresh Meadows, NY 11366-1526 - Phone
- (718) 460-2300
- Fax
- (718) 460-9796
- NPI assigned
- Sep 13, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004684 | NY | Primary |
Addresses
Primary practice location
17660 Union Tpke
Suite 360
Fresh Meadows, NY 11366-1526
Mailing address
17660 Union Tpke
Suite 360
Fresh Meadows, NY 11366-1526
Phone (718) 460-2300
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004684 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221264000000",
"number": "1437308582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17660 UNION TPKE",
"address_2": "SUITE 360",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661526",
"telephone_number": "718-460-2300",
"fax_number": "718-460-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17660 UNION TPKE",
"address_2": "SUITE 360",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661526",
"telephone_number": "718-460-2300",
"fax_number": "718-460-9796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZELLA",
"first_name": "ARLENE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-13",
"last_updated": "2008-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.