Individual provider Active NPI

Jennifer Mazzoni Clifford, D.O.

  • Cardiovascular Disease Physician
  • Abington, PA
National Provider Identifier
1891879375
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0102204443 Issued in VA
Practice address
1200 Old York Rd
Abington, PA 19001-3720
Phone
(215) 481-4100
Fax
(215) 481-4199
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MB07608800 NJ
Cardiovascular Disease Physician 207RC0000X 0102204443 VA Primary

Addresses

Primary practice location

1200 Old York Rd
Abington, PA 19001-3720

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 689-7400

Other practice location 1

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

Other practice location 2

5000 Frankford Ave Ste 1
Philadelphia, PA 19124
Phone (215) 831-2218

Other practice location 3

5000 Frankford Ave Ste 1
Philadelphia, PA 19124
Phone (215) 831-2218

Other practice location 4

2006 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-7400

Other identifiers 1

IdentifierTypeStateIssuer
1891879375MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115001469 PA Practitioner - Cardiovascular Disease (Cardiology) 7719084417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

5000 Frankford Ave
FL 1
Philadelphia, PA 19124-2620
Phone (215) 831-2355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB07608800NJMDCardiovascular Disease Physician
0102204443VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
Aria Health Physician Services CurrentSince Oct 1, 2019 Accepting new patients
Abington Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
Aria Health Physician Services CurrentSince Oct 1, 2019 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

1200 Old York Rd
#5
Abington, PA 19001
Phone (215) 481-4100

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

390 Middletown Blvd
Ste 604
Langhorne, PA 19047
Phone (215) 750-6331

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

125 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4404

5000 Frankford Ave
#1
Philadelphia, PA 19124
Phone (215) 831-2218

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

2500 Maryland Rd
Ste 504
Willow Grove, PA 19090

Interoperability endpoints

  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1891879375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-689-7400",
            "fax_number": "757-963-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4100",
            "fax_number": "215-481-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Trenton Rd",
            "address_purpose": "LOCATION",
            "city": "Browns Mills",
            "state": "NJ",
            "postal_code": "080151705",
            "country_code": "US",
            "telephone_number": "609-893-6611",
            "fax_number": "609-735-0175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Frankford Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19124",
            "country_code": "US",
            "telephone_number": "215-831-2218",
            "fax_number": "215-831-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Frankford Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19124",
            "country_code": "US",
            "telephone_number": "215-831-2218",
            "fax_number": "215-831-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "22801",
            "country_code": "US",
            "telephone_number": "540-689-7400",
            "fax_number": "757-963-9617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZONI CLIFFORD",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MB07608800",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0102204443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891879375",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.