Joseph F Mazzucco, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

014843 Issued in NY

Practice address

27 Chilton LN
Aberdeen, NJ 07747-2208

Phone

(203) 980-9131

NPI assigned

Dec 2, 2008

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Joe Mazzucco OT PLLC

  • Early Intervention Provider Agency
  • Aberdeen, NJ
  • NPI 1205358215
  NPD Authorized official

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1922243104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E EVERGREEN RD",
            "address_2": "PMB 563",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565101",
            "telephone_number": "203-980-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CHILTON LN",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472208",
            "telephone_number": "203-980-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZUCCO",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "014843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie M. Marcelin, RN
• Michael J Marchese, P.T.
• Christine Sesbreno Martirez, DPT
• Desirae Martocci, HEARING AID PROVIDER
• Matawan Aberdeen Regional School District
• Daniel Kevin McBride, PHYSICAL THERAPIST
• Dara Medina
• Mental Makeup Psychiatry and Counseling
• Patrick Miller, LCSW, LCADC
• Minding Miracles Learning Center

• Pediatric Occupational Therapist in Aberdeen, NJ
• Providers in Aberdeen, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.