Individual provider Active NPI

David S Mazza, MD

  • Allergy Physician
  • New York, NY
National Provider Identifier
1750302410
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
136247 Issued in NY
Practice address
7 Lexington Avenue
Suite 3
New York, NY 10010-5530
Phone
(212) 677-7170
Fax
(212) 677-8501
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 136247 NY Primary

Addresses

Primary practice location

7 Lexington Avenue
Suite 3
New York, NY 10010-5530

Mailing address

316 E 30TH St FL 2
New York, NY 10016-8366
Phone (212) 614-0089

Other identifiers 3

IdentifierTypeStateIssuer
6710725004OtherCIGNA
80A881OtherBLUE CROSS POS PPO & SENI
010136247NY01OtherANTHEM HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20111223000052 NY Practitioner - Allergy/Immunology 0446426324 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Avenue Medical PC Allergy CurrentSince Jan 1, 2020 Accepting new patients

Locations

7 Lexington Ave
Ste P3
New York, NY 10010
Phone (212) 677-7170

232 E 30th St
New York, NY 10016
Phone (212) 447-1609

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

7 Lexington Ave
New York, NY 10010
Phone (212) 427-8806

7 Lexington Ave
Ste 3
New York, NY 10010
Phone (212) 677-7170

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1750302410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 30TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168366",
            "telephone_number": "212-614-0089",
            "fax_number": "212-253-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LEXINGTON AVENUE",
            "address_2": "SUITE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105530",
            "telephone_number": "212-677-7170",
            "fax_number": "212-677-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "136247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6710725004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS POS PPO & SENI",
            "identifier": "80A881",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH",
            "identifier": "010136247NY01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.