David Carmine Mazzola Jr., D.C.
Individual provider Active NPI Chiropractor · Gilbertsville, PA
NPI 1487087912 · NPPES record last updated Aug 20, 2013
Key facts
- NPI
- 1487087912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC010771 (PA)
- Practice address
- 1810 Swamp Pike
Gilbertsville, PA 19525-9307 - Phone
- (610) 327-3363
- NPI assigned
- Aug 20, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Hanover Chiropractic, P.C.
Practice addresses (Care Compare)
1810 Swamp Pike
Suite 100
Gilbertsville, PA 19525-9307
Phone (610) 327-3363
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131030000117 | PA | Practitioner - Chiropractic | 1153556196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010771 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hanover Chiropractic, P.C. | Chiropractor | Current |
Accepting new patients |
Locations
1810 Swamp Pike
Gilbertsville, PA 19525
Phone (610) 327-3363
1810 Swamp Pike
#100
Gilbertsville, PA 19525
Phone (610) 327-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010771 | PA | Yes |
Addresses
Primary practice location
1810 Swamp Pike
Gilbertsville, PA 19525-9307
Mailing address
984 Englesville Hill Rd
Boyertown, PA 19512-8458
Phone (610) 568-0519
Other providers in Gilbertsville, PA
- Alyssa Lepri
- Jessica Lydon
- Jessica Ann Maher
- Gerald Manao
- Jennifer L Manning
- Hunter McClain
- Mike D McComas
- Zoe Noelle McCord
- Ashley McGinley
- Diana Migliaccio
All providers in Gilbertsville, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.