Paul W Mazzei, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

044829 Issued in NY

Practice address

930 N Broadway
Massapequa, NY 11758-2303

Phone

(516) 541-5400

Fax

(516) 541-9102

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

New York University College of Dentistry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siegel Cerbone and Mazzei LLPGroup PAC ID 3375690779, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Long Island Oral Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Massapequa, NY
  • NPI 1811141492
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1821106683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582303",
            "telephone_number": "516-541-5400",
            "fax_number": "516-541-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582303",
            "telephone_number": "516-541-5400",
            "fax_number": "516-541-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZEI",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "044829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Kaley PHD
• Lindsay Maurin
• Mauro Gasparini, M.D., P.C.
• Kelly Anne Mayberry
• Adama Maynard, LMT
• Tamara McAtamney
• Quianna Angela McBean, LPN
• Laura McCabe
• Brian McCarthy
• Kelsey Elaine McCartney

• Oral and Maxillofacial Surgery (Dentist) in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.