Active NPI
Thomas Frank Mazzoni, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Iselin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 25MB08219200
- Practice address
- 485 Route 1 S, Building B Suite 350
Iselin, NJ 08830-0883 - Phone
- (732) 549-3934
- Fax
- (732) 549-7250
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 501015425 | MI | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 25MB08219200 | NJ | Primary |
Addresses
Primary practice location
485 Route 1 S, Building B Suite 350
Iselin, NJ 08830-0883
Mailing address
660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Rowan University School of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
485 Route 1 S
Suite 350
Iselin, NJ 08830-3009
Phone (732) 549-3934
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501015425 | MI | MD | Otolaryngology/Facial Plastic Surgery Physician |
| 25MB08219200 | NJ | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Ijkg Opco LLC | Current | Accepting new patients | |
| West Scharf Conte Bastianelli PA | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Fidelity Hearing Health, LLC | Past | Accepting new patients | |
| Caroline Tiglio, DPM, PC | Past | Accepting new patients |
Locations
505 Chestnut St
Roselle Park, NJ 07204
Phone (908) 241-0200
1211 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 633-0808
660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800
660 White Plains Rd
Fl Fourth
Tarrytown, NY 10591
Phone (914) 984-2546
100 N Academy Ave
Danville, PA 17822
116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399
Interoperability endpoints
- tmazzoni129627@direct-guthrie.org
- thomas.mazzoni@direct.entandallergy.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- thomas.mazzoni@direct.bayonnemedicalcenter.md
Organizations & group practices 11
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.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
NJ, Otolaryngology/Facial Plastic Surgery
-
- Facial Plastic Surgery Physician
- Roselle Park, NJ
- NPI 1972549780
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Skilled Nursing Facility
- Bayonne, NJ
- NPI 1437356755
-
- Family Medicine Physician
- Bellefonte, PA
- NPI 1467888628
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Otolaryngology Physician
- Sayre, PA
- NPI 1760434112
-
- Audiologist-Hearing Aid Fitter
- Summit, NJ
- NPI 1750546842
-
- Foot & Ankle Surgery Podiatrist
- Port Chester, NY
- NPI 1811293715
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1629192463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD STE 400",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915107",
"telephone_number": "914-984-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 ROUTE 1 S, BUILDING B SUITE 350",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088300883",
"telephone_number": "732-549-3934",
"fax_number": "732-549-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZONI",
"first_name": "THOMAS",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2021-12-30",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MI",
"license": "501015425",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NJ",
"license": "25MB08219200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.