NPIMap

Individual provider Active NPI

Jeanae I Mazzone, D.O.

  • Obstetrics & Gynecology Physician
  • Riverdale, NJ
National Provider Identifier
1871532358
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MB06730700 Issued in NJ
Practice address
51 Route 23 South
1St Floor
Riverdale, NJ 07457
Phone
(973) 831-4200
Fax
(201) 818-4888
NPI assigned
Jun 6, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MB06730700 NJ Primary

Addresses

Primary practice location

51 Route 23 South
1St Floor
Riverdale, NJ 07457

Mailing address

82 E. Allendale Road
Suite 7
Saddle River, NJ 07458
Phone (201) 236-8282

Other identifiers 1

IdentifierTypeStateIssuer
7635109MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000240 NJ Practitioner - Obstetrics/Gynecology 3678524352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Health PartnersGroup PAC ID 9335494509, 28 clinicians

Practice addresses (Care Compare)

333 Route 46 W
Suite 106
Mountain Lakes, NJ 07046-1743
Phone (973) 829-7965

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.32 of 100Reported as group
Quality
62.32
Promoting interoperability
100
Improvement activities
40
Cost
65.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB06730700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Health Partners CurrentSince Dec 1, 2019 Accepting new patients
Atlantic Health Partners CurrentSince Dec 1, 2019 Accepting new patients
Allergy & Asthma Specialists, P.C. Past Accepting new patients
Wayne OB GYN LLC Past Accepting new patients

Locations

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1871532358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 E. ALLENDALE ROAD",
            "address_2": "SUITE 7",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "07458",
            "telephone_number": "201-236-8282",
            "fax_number": "201-236-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ROUTE 23 SOUTH",
            "address_2": "1ST FLOOR",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "973-831-4200",
            "fax_number": "201-818-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZONE",
        "first_name": "JEANAE",
        "middle_name": "I",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MB06730700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7635109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

Verify at the official NPI Registry.