Devon Lee Mazzanti

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA061805 Issued in PA

Practice address

1225 Whitehorse Mercerville Rd Ste 220
Mercerville, NJ 08619-3882

Phone

(609) 581-2200

NPI assigned

Jan 14, 2020

Last updated

Jan 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Health Mid-Atlantic Medical GroupGroup PAC ID 7416861885, 350 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmazzanti3919705@direct.trinity-health.org

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.

• Trinity Health Mid-Atlantic Medical Group

  dba THMA MG Surgical Associates Holme

  • Surgery Physician
  • Langhorne, PA
  • NPI 1972982361
  Medicare reassignment Care Compare group
• Reconstructive Orthopaedic Associates II LLC

  dba Rothman Orthopaedics Institute

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1861433278
  Medicare reassignment NPD
• Rothman Orthopaedics of New Jersey, LLC

  dba Rothman Orthopaedics Institute

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1215978630
  Medicare reassignment
• Rothman Institute of New Jersey, P.a.

  • Prosthetic/Orthotic Supplier
  • Manahawkin, NJ
  • NPI 1831611243
  NPD
• Reconstructive Orthopaedic Associates II LLC

  dba Rothman Orthopaedics Institute

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1497571830
  NPD
• Trinity Health Mid-Atlantic Medical Group

  dba THMA MG Comprehensive Urology Darby

  • Urology Physician
  • Langhorne, PA
  • NPI 1326363938
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1639039175
  NPD
• Trinity Health Mid-Atlantic Medical Group

  dba THMA MG Trauma Service Langhorne

  • Trauma Surgery Physician
  • Langhorne, PA
  • NPI 1093771271
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1700426111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CAMELLIA RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD STE 220",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471211",
            "country_code": "US",
            "telephone_number": "267-364-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZANTI",
        "first_name": "DEVON",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061805",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biagio Manna, DO
• Mark W Beyer LLC
• John E Martel Jr., D.C.
• Martin J. Scott, D.O. & Associates, Inc.
• Suja John Mathai, M.D
• Lorraine Margaret McGrath
• Mercerville Family Dental
• Mercerville Medical Assoc PC
• Mercerville Pharmacy LLC (Mercerville Family Pharmacy)
• New Jersey Surgery Center LLC (New Jersey Surgery Center)

• Physician Assistant in Mercerville, NJ
• Providers in Mercerville, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.