Glenda Mazza, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP02764500 Issued in NJ

Practice address

17 Lakeside Dr
Bridgeton, NJ 08302-3914

Phone

(800) 950-6066

NPI assigned

Nov 14, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1841470242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LAKESIDE DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023914",
            "telephone_number": "800-950-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LAKESIDE DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023914",
            "telephone_number": "800-950-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "GLENDA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP02764500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christianna R Martin, LCSW
• Nancy Martin, LCSW
• Maria Martinez, PA
• Eltayeb Idris Massabbal, M. D.
• Gayle A Maxwell, APN
• Linda D McBride, DDS
• Andrea McCoy, LPN
• John McGlynn, D.M.D.
• Gwen G McKenney, CMW
• Maryann F. McLaughlin, PSY.D.

• Licensed Practical Nurse in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.