Active NPIIndividual provider

Mr. Gregory J Mazzatta, DPM

Podiatrist in Manahawkin, New Jersey

NPI Number1255433041
Practice location
1145 Beacon Ave, Manahawkin, NJ 08050-2471
Fax
609-597-9907
Last updated
September 17, 2012

Gregory John Mazzatta is a Podiatrist based in Manahawkin, NJ. Gregory John Mazzatta practices in Manahawkin, NJ and has the professional credentials of DPM. The NPI Number for Gregory John Mazzatta is 1255433041 and holds a License No. 25MD00231500 (NJ). The current practice location address for Gregory John Mazzatta is 1145 Beacon Ave, Manahawkin, NJ 08050-2471 and can be reached out via phone at 609-597-6688 and via fax at 609-597-9907.

Provider Profile Details

NPI Number
1255433041
Provider Name
Gregory John Mazzatta
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1145 Beacon Ave, Manahawkin, NJ 08050-2471
Phone Number
609-597-6688
Fax Number
609-597-9907
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2006
Last Update Date
September 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1145 Beacon Ave
Manahawkin, NJ 08050-2471
Zip
08050-2471
Phone Number
609-597-6688
Fax Number
609-597-9907
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
1145 Beacon Ave
Manahawkin, NJ 08050-2471
City
Manahawkin
State
NJ
Zip
08050-2471
Phone Number
609-597-6688
Fax Number
609-597-9907

License Information

License Number
25MD00231500
License State
NJ
Taxonomy
Podiatrist · 213E00000X · 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 Mr. Gregory J Mazzatta, DPM?

The NPI number of Mr. Gregory J Mazzatta, DPM is 1255433041. It was assigned on September 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Gregory J Mazzatta, DPM?

Mr. Gregory J Mazzatta, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00231500.

Where does Mr. Gregory J Mazzatta, DPM practice?

The practice location is 1145 Beacon Ave, Manahawkin, NJ 08050-2471. The office can be reached at 609-597-6688 (phone) or 609-597-9907 (fax).

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 1255433041 directly on the NPPES registry website.

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