Jill G. Mazur, M.A.

Primary specialty

Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X

License

14000002100 Issued in NY

Practice address

549 4TH St
Niagara Falls, NY 14301-1530

Phone

(716) 282-4130

Fax

(716) 282-4133

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1972601326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 4TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011530",
            "telephone_number": "716-282-4130",
            "fax_number": "716-282-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 4TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011530",
            "telephone_number": "716-282-4130",
            "fax_number": "716-282-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "JILL",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "1064",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NY",
            "license": "15000000829",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NY",
            "license": "14000002100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "005760313",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01112954",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011183301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9209410",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "060725000001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matka Physical Therapy PLLC
• Twila L Matthews, LPN
• Tylin Mauldin
• Lora Maye
• Elizabeth A Mayer
• Marc Joseph Mazur, PT
• Nicole Kathleen McAuliffe, LMSW
• Angela McCainey, LPN
• Peyton McConville
• Michael Patrick McCoulf, PT

• Assistive Technology Supplier Audiologist in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Assistive Technology Supplier Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.