Alan A Mazurek, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

1498031 Issued in NY

Practice address

99 Jericho Tpke Ste 206
Jericho, NY 11753

Phone

(516) 338-2908

Fax

(516) 333-6160

NPI assigned

Aug 22, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Adam J Schneider MDPC

  • Neurology Physician
  • Jericho, NY
  • NPI 1689861734
  Medicare reassignment NPD
• Scott Bloom MD PC

  • Family Medicine Physician
  • Jericho, NY
  • NPI 1295824530
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1619083763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE STE 206",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531015",
            "telephone_number": "516-338-2908",
            "fax_number": "516-333-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE STE 206",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "11753",
            "telephone_number": "516-338-2908",
            "fax_number": "516-333-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUREK",
        "first_name": "ALAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "1498031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME NUMBER",
            "identifier": "03547800540",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Marcus
• Marissa Resnick, Ms, Ed, LLC
• Olivia Marlin
• Marriage and Family Therapy Solutions, P.C.
• Martin Martinicky
• Caro E McCarthy, M.D.
• Gerarda McDougall, LCSW
• Emily Meehan
• Kimberly Meere, LCSW
• Pooja Pratik Mehta

• Neurology Physician in Jericho, NY
• Providers in Jericho, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.