Individual provider Active NPI

Gary Mazer, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1538337381
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
236270 Issued in NY
Practice address
336 E 86TH St
New York, NY 10028-4615
Phone
(212) 772-3627
NPI assigned
Feb 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 236270 NY Primary

Addresses

Primary practice location

336 E 86TH St
New York, NY 10028-4615

Mailing address

1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635

Other practice location 1

210 Westchester Ave
White Plains, NY 10604-2901
Phone (844) 824-8963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080802000084 NY Practitioner - Emergency Medicine 1355415746 Reassigns benefits to 3 organizations
I20150916002237 NJ Practitioner - Emergency Medicine 1355415746 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236270NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospital Association CurrentSince Jul 1, 2008 Accepting new patients
The Westchester Medical Group PC CurrentSince Dec 19, 2024 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Dec 19, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 1, 2010 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 1, 2010 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Huntington Hospital Association Current Accepting new patients
Summit Medical Group PA CurrentSince Mar 24, 2020 Accepting new patients
Summit Medical Group PA CurrentSince Mar 24, 2020 Accepting new patients
Huntington Hospital Emergency Department Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

282 E Route 4
Paramus, NJ 07652
Phone (551) 222-0800

2459 Merrick Rd
Bellmore, NY 11710
Phone (516) 826-2273

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

3276 Hempstead Tpke
Levittown, NY 11756
Phone (516) 764-2273

585 Merrick Rd
Lynbrook, NY 11563
Phone (516) 596-2273

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

27005 76th Ave
North New Hyde Pk, NY 11040

358 Jericho Tpke
Syosset, NY 11791
Phone (516) 677-9200

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: gary.mazer.1@21260.direct.athenahealth.com
  • Direct secure messaging: gary.mazer.1@2983.direct.athenahealth.com

Organizations & group practices 10

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1538337381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050018",
            "telephone_number": "908-588-3635",
            "fax_number": "908-934-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284615",
            "telephone_number": "212-772-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106042901",
            "country_code": "US",
            "telephone_number": "844-824-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZER",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "236270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.