Individual provider Active NPI

Mariela J Pazos, DVM

  • Veterinarian
  • Spring Lake, NJ
National Provider Identifier
1770747610
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29V100459200 Issued in NJ
Practice address
410 Essex Ave
Spring Lake, NJ 07762
Phone
(732) 221-3964
NPI assigned
Jul 10, 2008
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29V100459200 NJ Primary

Addresses

Primary practice location

410 Essex Ave
Spring Lake, NJ 07762

Mailing address

PO Box 33
Spring Lake, NJ 07762-0033
Phone (732) 221-3964

Other practice location 1

100 United Ln
Teterboro, NJ 07608-1013
Phone (732) 221-3964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29V100459200NJMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1770747610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077620033",
            "telephone_number": "732-221-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ESSEX AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "07762",
            "telephone_number": "732-221-3964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 United Ln",
            "address_purpose": "LOCATION",
            "city": "Teterboro",
            "state": "NJ",
            "postal_code": "076081013",
            "country_code": "US",
            "telephone_number": "732-221-3964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZOS",
        "first_name": "MARIELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29V100459200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.