Individual provider Active NPI

Mazen Pierre Kreidy, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Camden, NJ
National Provider Identifier
1972741635
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
25MA10450700 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103
Phone
(856) 448-3051
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C1-0012839 DE
Pulmonary Disease Physician 207RP1001X C1-0012839 DE
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA10450700 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

4745 Ogletown Stanton Rd Ste 220
Newark, DE 19713-2074
Phone (302) 623-7600

Other practice location 2

4745 Ogletown Stanton Rd Ste 220
Newark, DE 19713-2074
Phone (302) 623-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, DE, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20121025000768 WI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7618165242 Reassigns benefits to 3 organizations
I20181024001963 DE Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7618165242 Reassigns benefits to 2 organizations
I20190430001754 NJ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7618165242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Critical Care SCGroup PAC ID 4486026804, 49 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 623-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10450700NJMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc. Pulmonary Disease CurrentSince Oct 7, 2018 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Mar 6, 2019 Accepting new patients
CMC Department of Medicine Group PA Critical Care Medicine CurrentSince Mar 6, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 7, 2018 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Midwest Critical Care SC Critical Care Medicine CurrentSince Oct 1, 2023 Accepting new patients
Christiana Care Health Services Inc Critical Care Medicine CurrentSince Oct 7, 2018 Accepting new patients

Locations

4745 Stanton Ogletwn Rd
Ste 220
Newark, DE 19713
Phone (302) 368-5515

4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1 Cooper Plz
#432
Camden, NJ 08103
Phone (856) 342-2633

1 Federal St
#200
Camden, NJ 08103

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Ste 432
Camden, NJ 08103

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

19475 W North Ave
Brookfield, WI 53045
Phone (262) 780-4000

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Organizations & group practices 11

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 4

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1972741635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-448-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 Ogletown Stanton Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132074",
            "country_code": "US",
            "telephone_number": "302-623-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4745 Ogletown Stanton Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132074",
            "country_code": "US",
            "telephone_number": "302-623-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREIDY",
        "first_name": "MAZEN",
        "middle_name": "PIERRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DE",
            "license": "C1-0012839",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DE",
            "license": "C1-0012839",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA10450700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.