Individual provider Active NPI

Dominic F Mazzocchi, M.D.

  • Internal Medicine Physician
  • Point Pleasant Beach, NJ
National Provider Identifier
1679546501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA04770300 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0065873OtherNJGHI
0942006MedicaidNJ
223360408-006OtherNJQUALCARE
P414149OtherNJOXFORD
110172484OtherNJRAILROAD MEDICARE
1K1007OtherNJHEALTHNET

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000057 NJ Practitioner - Internal Medicine 9739197591 Reassigns benefits to 2 organizations

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
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

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

LicenseStateTypeSpecialty
MA04770300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Feingold MD LLC Current Accepting new patients
Consensus Medical Group LLC Internal Medicine CurrentSince Sep 26, 2023 Accepting new patients
Provider Partners Care Management LP CurrentSince Feb 6, 2026 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.