Active NPI
Eric M Mazur, M.D.
- Hematology (Internal Medicine) Physician
- Norwalk, CT
National Provider Identifier
1881664886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- License
- 021096
- Practice address
- 24 Stevens St
Norwalk, CT 06850-3852 - Phone
- (203) 852-2368
- Fax
- (203) 855-3589
- NPI assigned
- Jan 24, 2006
- Last updated
- Nov 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 021096 | CT | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 021096 | CT | Primary |
Addresses
Primary practice location
24 Stevens St
Norwalk, CT 06850-3852
Mailing address
280 Newtown Tpke
Weston, CT 06883-1320
Phone (203) 952-5929
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010021096CT01 | Other | CT | ANTHEM B/C |
| 6893765-007 | Other | CT | CITNA |
| 210960 | Other | CT | CONNECTICARE |
| 001210963 | Medicaid | DE | |
| 213321 | Other | CT | UHC |
| 2543585 | Other | CT | AETNA PROVIDER NUMBER |
| OV5808 | Other | CT | HEALTHNET |
| ZS925 | Other | CT | OXFORD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021096 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield County Medical Services Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Norwalk Hospital Physicians and Surgeons
- Specialist
- Norwalk, CT
- NPI 1134178577
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1881664886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 NEWTOWN TPKE",
"city": "WESTON",
"state": "CT",
"postal_code": "068831320",
"telephone_number": "203-952-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 STEVENS ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503852",
"telephone_number": "203-852-2368",
"fax_number": "203-855-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUR",
"first_name": "ERIC",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "021096",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "CT",
"license": "021096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM B/C",
"identifier": "010021096CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITNA",
"identifier": "6893765-007",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "210960",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001210963",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "213321",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2543585",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OV5808",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ZS925",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.