Individual provider Active NPI

Nicole Aliza Mazer, M.D.

  • Allergy Physician
  • Franklin Square, NY
National Provider Identifier
1457599797
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
248591 Issued in NY
Practice address
401 Franklin Ave
Franklin Square, NY 11010-1227
Phone
(516) 355-0505
Fax
(516) 355-2055
NPI assigned
Jan 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 248591 NY Primary

Addresses

Primary practice location

401 Franklin Ave
Franklin Square, NY 11010-1227

Mailing address

660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546

Other names 1

  • Dr. Nicole Aliza Kriss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000464 NY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9638321557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
248591NYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP CurrentSince Jul 1, 2022 Accepting new patients
ENT and Allergy Associates of Pennsylvania PLLC Past Accepting new patients

Locations

3501 30th Ave
Ste 400
Astoria, NY 11103
Phone (718) 726-7000

400 W Main St
Ste 200
Babylon, NY 11702
Phone (631) 893-6070

401 Franklin Ave
Franklin Square, NY 11010
Phone (516) 326-2255

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Interoperability endpoints

  • Direct secure messaging: nicole.mazer@1473.chartlogic.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1457599797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD STE 400",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915107",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FRANKLIN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101227",
            "telephone_number": "516-355-0505",
            "fax_number": "516-355-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZER",
        "first_name": "NICOLE",
        "middle_name": "ALIZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-24",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "248591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KRISS",
            "middle_name": "ALIZA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.