Joseph F Mazza Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME42670 Issued in FL

Practice address

12640 Creekside LN
Ft Myers, FL 33919-3359

Phone

(239) 482-7676

Fax

(239) 482-7604

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Plastic and Reconstructive Surgery

Education

State University of New York Downstate Medical Center, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joseph F Mazza Jr MD PAGroup PAC ID 9234103458, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Joseph F Mazza Jr MD PA

  • Plastic Surgery Physician
  • Fort Myers, FL
  • NPI 1164664751
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1639148281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 CREEKSIDE LN",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339193359",
            "telephone_number": "239-482-7676",
            "fax_number": "239-482-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 CREEKSIDE LN",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339193359",
            "telephone_number": "239-482-7676",
            "fax_number": "239-482-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME42670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "07873",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001572600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfmazza@comcast.net",
            "affiliation": "N",
            "address_1": "12640 Creekside Ln",
            "city": "Ft Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339193359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Lee Maynard, A,P.
• Wendy B Mayper, LCSW
• Mays Caring Home LLC
• Jasmine Elizabeth Maysonet
• Cynthia Maza Perez, DO
• Frank Mazzeo Jr., DDS
• Angelica M Mazzola, PA
• Ivan L Mazzorana Jr., MD
• MC RV for Growth LLC
• Padmanie Davie McAnulty, PHARMD

• Plastic Surgery Physician in Ft Myers, FL
• Providers in Ft Myers, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.