Active NPI
Lauren Mazurek, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Chesterfield, NJ
National Provider Identifier
1497292866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 3284
- Practice address
- 153 White Pine Rd
Chesterfield, NJ 08515-2206 - Phone
- (609) 923-3651
- Fax
- (888) 539-3001
- NPI assigned
- Jan 24, 2017
- Last updated
- Jan 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 3284 | NJ | Primary |
Addresses
Primary practice location
153 White Pine Rd
Chesterfield, NJ 08515-2206
Mailing address
153 White Pine Rd
Chesterfield, NJ 08515-2206
Phone (609) 923-3651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3284 | Other | NJ | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3284 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1497292866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 WHITE PINE RD",
"city": "CHESTERFIELD",
"state": "NJ",
"postal_code": "085152206",
"telephone_number": "609-923-3651",
"fax_number": "888-539-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 WHITE PINE RD",
"city": "CHESTERFIELD",
"state": "NJ",
"postal_code": "085152206",
"telephone_number": "609-923-3651",
"fax_number": "888-539-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUREK",
"first_name": "LAUREN",
"credential": "CNIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NJ",
"license": "3284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3284",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.