Individual provider Active NPI

Alexander R Mazziotti, M.D.

  • Internal Medicine Physician
  • Hawthorne, NJ
National Provider Identifier
1902996283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36284 Issued in NJ
Practice address
268 Lincoln Ave
Hawthorne, NJ 07506-1201
Phone
(973) 423-3335
NPI assigned
Oct 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36284 NJ Primary

Addresses

Primary practice location

268 Lincoln Ave
Hawthorne, NJ 07506-1201

Mailing address

268 Lincoln Ave
Hawthorne, NJ 07506-1201
Phone (973) 423-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110407000276 NJ Practitioner - Internal Medicine 5496939985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers School of Dental Medicine, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

268 Lincoln Ave
Hawthorne, NJ 07506-1201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36284NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Mazziotti, M.D., P.a. CurrentSince Oct 9, 2010 Accepting new patients

Locations

268 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 423-3335

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBCDD/Endpoint/JJBCDD

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.

Hospital & facility affiliations 1

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": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902996283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061201",
            "telephone_number": "973-423-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061201",
            "telephone_number": "973-423-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZIOTTI",
        "first_name": "ALEXANDER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "36284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

Verify at the official NPI Registry.