Active NPI
Dominic F Mazzocchi, M.D.
- Internal Medicine Physician
- Point Pleasant Beach, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA04770300
- Practice address
- 1401 Beaver Dam Rd
Point Pleasant Beach, NJ 08742-4970 - Phone
- (732) 295-0808
- Fax
- (732) 295-3845
- NPI assigned
- Feb 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA04770300 | NJ | Primary |
Addresses
Primary practice location
1401 Beaver Dam Rd
Point Pleasant Beach, NJ 08742-4970
Mailing address
702 Carnation Avenue
Brick, NJ 08724
Phone (732) 840-2378
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065873 | Other | NJ | GHI |
| 0942006 | Medicaid | NJ | |
| 223360408-006 | Other | NJ | QUALCARE |
| P414149 | Other | NJ | OXFORD |
| 110172484 | Other | NJ | RAILROAD MEDICARE |
| 1K1007 | Other | NJ | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Beaver Dam Rd
Point Pleasant Boro, NJ 08742-4970
Phone (732) 295-0808
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA04770300 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Feingold MD LLC | Current | Accepting new patients | |
| Consensus Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Provider Partners Care Management LP | Current | Accepting new patients | |
| CMG Medical Group I LLC | Past | Accepting new patients | |
| Shore Health Group, PC | Internal Medicine | Past | Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379
706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888
420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008
170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540
1401 Beaver Dam Rd
Point Pleasant Boro, NJ 08742
Phone (732) 295-0808
1401 Beaver Dam Rd
Ste 2
Point Pleasant Boro, NJ 08742
Phone (732) 295-0808
Interoperability endpoints
- dominic.mazzocchi.1@18614.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Manasquan, NJ
- NPI 1811466881
-
- Internal Medicine Physician
- Point Pleasant, NJ
- NPI 1255485124
-
- Family Medicine Physician
- Manalapan, NJ
- NPI 1992026280
-
- Family Medicine Physician
- Manalapan, NJ
- NPI 1942778014
-
- Internal Medicine Physician
- Ocean, NJ
- NPI 1902944416
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Whiting, NJ
- NPI 1609264597
-
dba Hackensack Meridian at Home Ocean County
- Home Health Agency
- Brick, NJ
- NPI 1376638064
-
dba HMH Behavioral Health Home
- Clinic/Center
- Neptune, NJ
- NPI 1053880286
Hospital
-
dba Ocean Medical Center
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
dba Jersey Shore University Medical Center
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Brick, NJ
- NPI 1942927538
Hospital
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Neptune City, NJ
- NPI 1962128496
Hospital
-
dba VNA of Central Jersey Home Care and Hospice
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679546501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 CARNATION AVENUE",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-840-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 BEAVER DAM RD",
"city": "POINT PLEASANT BEACH",
"state": "NJ",
"postal_code": "087424970",
"telephone_number": "732-295-0808",
"fax_number": "732-295-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZOCCHI",
"first_name": "DOMINIC",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA04770300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0065873",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0942006",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCARE",
"identifier": "223360408-006",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P414149",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110172484",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K1007",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Point Pleasant Beach, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.