Individual provider Active NPI

Thomas Frank Mazzoni, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Iselin, NJ
National Provider Identifier
1629192463
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
25MB08219200 Issued in NJ
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

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071023000413 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 3870689797 Reassigns benefits to 2 organizations
I20180312002109 PA Practitioner - Otolaryngology 3870689797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Rowan University School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
501015425MIMDOtolaryngology/Facial Plastic Surgery Physician
25MB08219200NJMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Otolaryngology/Facial Plastic Surgery CurrentSince Jan 1, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Feb 12, 2018 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
West Scharf Conte Bastianelli PA CurrentSince Aug 1, 2007 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Geisinger Clinic CurrentSince Jan 2, 2019 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Feb 12, 2018 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jan 2, 2019 Accepting new patients
Fidelity Hearing Health, LLC PastSince Aug 1, 2007 Accepting new patients
Caroline Tiglio, DPM, PC PastSince Sep 1, 2021 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

  • Direct secure messaging: tmazzoni129627@direct-guthrie.org
  • Direct secure messaging: thomas.mazzoni@direct.entandallergy.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.