Susan Mozzicato, M.D., M.H.S.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

16727 Issued in NH

Practice address

1 Medical Center Dr
Allergy &Clinical Immunology, Department of Pediatrics
Lebanon, NH 03756-1000

Phone

(603) 653-9885

Fax

(603) 650-0907

NPI assigned

Apr 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1730352170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "ALLERGY &CLINICAL IMMUNOLOGY, DEPARTMENT OF PEDIATRICS",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-653-9885",
            "fax_number": "603-650-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "ALLERGY &CLINICAL IMMUNOLOGY, DEPARTMENT OF PEDIATRICS",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-653-9885",
            "fax_number": "603-650-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZZICATO",
        "first_name": "SUSAN",
        "credential": "M.D., M.H.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "051787",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NH",
            "license": "16727",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "16727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Moulton, APRN
• Kiana Moussavi, MD
• Justin Jonathan Mowchun, MD
• Denae Hope Moyer, PHARMD
• Jacob Mozier
• Catherine L Mueller, M.D.
• Mir Mohammad Tokir Mujtaba, MD
• Erika Madelyn Mulhearn, M.A.
• Dorothy M Mullaney, ARNP
• John T Mullen, M.D.

• Allergy & Immunology Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Allergy & Immunology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.