Individual provider Active NPI

Richard Mazzaferro, DO

  • Physical Medicine & Rehabilitation Physician
  • Quincy, MA
National Provider Identifier
1609805951
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
204521 Issued in MA
Practice address
300 Congress St
Suite 304
Quincy, MA 02169-0907
Phone
(617) 773-6300
Fax
(617) 773-6301
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 204521 MA
Physical Medicine & Rehabilitation Physician 208100000X 204521 MA Primary

Addresses

Primary practice location

300 Congress St
Suite 304
Quincy, MA 02169-0907

Mailing address

PO Box 2200
Amherst, NH 03031-4200
Phone (603) 673-9411

Other identifiers 4

IdentifierTypeStateIssuer
2126818MedicaidMA
495761OtherMATUFTS
J41186OtherMABCBS
AA63775OtherMAHPHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20061109000520 MA Practitioner - Physical Medicine and Rehabilitation 4789689597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of New England, College of Osteo Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Mazzaferro, DO PCGroup PAC ID 9931202397, 3 clinicians

Practice addresses (Care Compare)

300 Congress St
Quincy, MA 02169-0907
Phone (781) 749-9071

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108

Merit-based Incentive Payment System (MIPS)

Final score
23.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204521MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Mazzaferro DO PC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2006 Accepting new patients
North Jersey Sports Medicine & Orthopedic Center, LLC PastSince Jul 12, 2006 Accepting new patients
North Jersey Sports Medicine and Orthopedic Center LLC Past Accepting new patients

Locations

300 Congress St
Ste 304
Quincy, MA 02169
Phone (617) 773-2200

24 Newton St
Southborough, MA 01772
Phone (508) 460-3190

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADFGCA/Endpoint/ADFGCA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1609805951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030314200",
            "telephone_number": "603-673-9411",
            "fax_number": "866-267-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST",
            "address_2": "SUITE 304",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-773-6300",
            "fax_number": "617-773-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZAFERRO",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MA",
            "license": "204521",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "204521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2126818",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "495761",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J41186",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA63775",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.