Jenna Mazzillo

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

65 Jamaica Ave
Plainview, NY 11803-3631

Phone

(516) 383-0224

NPI assigned

Jun 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1588927958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JAMAICA AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033631",
            "telephone_number": "516-383-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMAICA AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033631",
            "telephone_number": "516-383-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZILLO",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chun Maung, DO
• Robin Maurio
• Katherine Maxwell, PT
• Monique Briaunn Mayfield, PT, DPT
• Brian Mayrsohn, M.D., M.S.
• Andrea McCann
• Tara Lynn McCarney, M.S
• Janet M. McElynn-Byrns, OTR
• Nivea Elicia McGee, BSOT
• Anne M McGinnis, PH.D.

• Specialist in Plainview, NY
• Providers in Plainview, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.