Vito Mazzoccoli, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA072343 Issued in NJ

Practice address

73 Bloomfield Ave
1St Floor
Caldwell, NJ 07006-5311

Phone

(973) 403-3200

Fax

(973) 403-3250

NPI assigned

Mar 16, 2006

Last updated

Apr 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Family PracticeAlso: General Surgery

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1497301998
  Medicare reassignment Care Compare group NPD
• Premier Family Medical, PC

  • Family Medicine Physician
  • Caldwell, NJ
  • NPI 1891740643
  Medicare reassignment NPD Authorized official
• David W. Lee MD PA

  • Adult Medicine Physician
  • Fort Lee, NJ
  • NPI 1932394079
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1518936053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 BLOOMFIELD AVE",
            "address_2": "1ST FLOOR",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065311",
            "telephone_number": "973-403-3200",
            "fax_number": "973-403-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 BLOOMFIELD AVE",
            "address_2": "1ST FLOOR",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065311",
            "telephone_number": "973-403-3200",
            "fax_number": "973-403-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOCCOLI",
        "first_name": "VITO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA072343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029483",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian Care LLC (Visiting Angels of Suburban Essex)
• Matthew K Marino, DPT
• Diane Marisca
• Calvin Mayes Jr., PT
• Stanley Mayrowetz, MD
• MB Advanced Wound Care
• Jennifer McCloskey, BCBA
• Jeanine McGlynn, BCBA
• Douglas J McKay, DPM
• Kyle Mednick, LAC

• Family Medicine Physician in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.

Verify at the official NPI Registry.