Active NPIIndividual providerSole proprietor

Roman Mazurov

Physical Therapy Assistant in Lyndhurst, New Jersey

NPI Number1114630167
Practice location
70 Ridge RD, Lyndhurst, NJ 07071-1216
Fax
—
Last updated
January 4, 2023

Roman Mazurov is a Physical Therapy Assistant based in Lyndhurst, NJ. Roman Mazurov practices in Lyndhurst, NJ. The NPI Number for Roman Mazurov is 1114630167. The current practice location address for Roman Mazurov is 70 Ridge RD, Lyndhurst, NJ 07071-1216 and can be reached out via phone at 201-992-0183.

Provider Profile Details

NPI Number
1114630167
Provider Name
Roman Mazurov
Provider Entity Type
Individual
Gender
Male
Address
70 Ridge RD, Lyndhurst, NJ 07071-1216
Phone Number
201-992-0183
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
January 4, 2023
Last Update Date
January 4, 2023
Certification Date
January 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Ridge RD
Lyndhurst, NJ 07071-1216
Zip
07071-1216
Phone Number
201-992-0183
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Roman Mazurov?

The NPI number of Roman Mazurov is 1114630167. It was assigned on January 4, 2023 and is currently active in the NPPES registry.

What is the specialty of Roman Mazurov?

Roman Mazurov is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X).

Where does Roman Mazurov practice?

The practice location is 70 Ridge RD, Lyndhurst, NJ 07071-1216. The office can be reached at 201-992-0183 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114630167 directly on the NPPES registry website.

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