NPIMap

Organization Active NPI

John S. Mazella, M.D., P.C.

  • Specialist
  • Mount Kisco, NY
National Provider Identifier
1538469291
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
092018-1 Issued in NY
Legal business name
JOHN S. MAZELLA, M.D., P.C.
Practice address
37 Moore Ave
Mount Kisco, NY 10549-3127
Phone
(914) 241-1808
Fax
(914) 241-4789
NPI assigned
Oct 28, 2010
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Dr. John Samuel Mazella, M.D.
Title
President
Phone
(914) 241-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 092018-1 NY Primary

Addresses

Primary practice location

37 Moore Ave
Mount Kisco, NY 10549-3127

Mailing address

37 Moore Ave
Mount Kisco, NY 10549-3127
Phone (914) 241-1808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1538469291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MOORE AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493127",
            "telephone_number": "914-241-1808",
            "fax_number": "914-241-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MOORE AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493127",
            "telephone_number": "914-241-1808",
            "fax_number": "914-241-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. MAZELLA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "MAZELLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-241-1808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "092018-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.