Active NPIIndividual provider

Matthew M Mizzoni, DO

Pediatrics in Fitchburg, Massachusetts

NPI Number1285364026
Practice location
19 Pierce Ave, Fitchburg, MA 01420-7160
Fax
—
Last updated
July 27, 2026

Matthew Mark Mizzoni is a Pediatrics based in Fitchburg, MA. Matthew Mark Mizzoni practices in Fitchburg, MA and has the professional credentials of DO. The NPI Number for Matthew Mark Mizzoni is 1285364026 and holds a License No. 1026843 (MA). The current practice location address for Matthew Mark Mizzoni is 19 Pierce Ave, Fitchburg, MA 01420-7160 and can be reached out via phone at 978-577-0437.

Provider Profile Details

NPI Number
1285364026
Provider Name
Matthew Mark Mizzoni
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
19 Pierce Ave, Fitchburg, MA 01420-7160
Phone Number
978-577-0437
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2022
Last Update Date
July 27, 2026
Certification Date
July 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Pierce Ave
Fitchburg, MA 01420-7160
Zip
01420-7160
Phone Number
978-577-0437
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
19 Pierce Ave
Fitchburg, MA 01420-7160
City
Fitchburg
State
MA
Zip
01420-7160
Phone Number
978-577-0437

License Information

License Number
1026843
License State
MA
Taxonomy
Pediatrics · 208000000X · 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 Matthew M Mizzoni, DO?

The NPI number of Matthew M Mizzoni, DO is 1285364026. It was assigned on June 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Matthew M Mizzoni, DO?

Matthew M Mizzoni, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 1026843.

Where does Matthew M Mizzoni, DO practice?

The practice location is 19 Pierce Ave, Fitchburg, MA 01420-7160. The office can be reached at 978-577-0437 (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 1285364026 directly on the NPPES registry website.

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