Active NPI
Kathryn Leigh Mazza, D.O.
- Internal Medicine Physician
- Guilford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 079272
- Practice address
- 1591 Boston Post Rd Ste 100
Guilford, CT 06437-4335 - Phone
- (203) 453-9911
- Fax
- (203) 458-1905
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 289426 | NY | |
| Internal Medicine Physician | 207R00000X | 079272 | CT | Primary |
Addresses
Primary practice location
1591 Boston Post Rd Ste 100
Guilford, CT 06437-4335
Mailing address
55 Water St
FL 12
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
1067 Ogden Ave
Bronx, NY 10452-4601
Phone (718) 992-7669
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 992-7669
Hospital & facility affiliations
- Bronxcare Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079272 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Single Specialty | Current | Accepting new patients |
| Bronxcare Health System | Single Specialty | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Single Specialty | Current | Accepting new patients |
| Sun River Health Inc. | Single Specialty | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Single Specialty | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
Single Specialty
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Single Specialty
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
Single Specialty
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1497196471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST",
"address_2": "FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1591 BOSTON POST RD STE 100",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064374335",
"telephone_number": "203-453-9911",
"fax_number": "203-458-1905"
}
],
"practiceLocations": [
{
"address_1": "1067 Ogden Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104524601",
"country_code": "US",
"telephone_number": "718-992-7669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAZZA",
"first_name": "KATHRYN",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "289426",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "079272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.