Susan Marie Mazzella, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

501254-1 Issued in NY

Practice address

1911 Richmond Ave
Suite 200
Staten Island, NY 10314-3913

Phone

(718) 420-5440

NPI assigned

Apr 27, 2012

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1841558731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DARNELL LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091955",
            "telephone_number": "718-356-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 RICHMOND AVE",
            "address_2": "SUITE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143913",
            "telephone_number": "718-420-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZELLA",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "501254-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Mazzarisi
• Kimberly Lynn Mazzarisi, PHARMD, RPH
• Marissa Britney Mazzarisi
• Gabrielle L Mazzaro, MA
• Patricia Ellen Mazzaro, CCC-SLP
• Olga Mazzeo
• Erin Mazzolla, M.S.W.
• Anthony Mazzone
• Jillian Mazzone
• Sandra Beth Mazzucco, M.A. CCC-SLP

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.