Active NPIIndividual provider

Cheyenne Mazza

Occupational Therapist in Eatontown, New Jersey

NPI Number1477139988
Practice location
1 Main St Ste 505, Eatontown, NJ 07724-3903
Fax
—
Last updated
March 23, 2021

Cheyenne Mazza is an Occupational Therapist based in Eatontown, NJ. Cheyenne Mazza practices in Eatontown, NJ. The NPI Number for Cheyenne Mazza is 1477139988 and holds a License No. 025185 (NY). The current practice location address for Cheyenne Mazza is 1 Main St Ste 505, Eatontown, NJ 07724-3903 and can be reached out via phone at 732-493-3100.

Provider Profile Details

NPI Number
1477139988
Provider Name
Cheyenne Mazza
Provider Entity Type
Individual
Gender
Female
Address
1 Main St Ste 505, Eatontown, NJ 07724-3903
Phone Number
732-493-3100
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2021
Last Update Date
March 23, 2021
Certification Date
March 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Main St Ste 505
Eatontown, NJ 07724-3903
Zip
07724-3903
Phone Number
732-493-3100
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
1 Main St Ste 505
Eatontown, NJ 07724-3903
City
Eatontown
State
NJ
Zip
07724-3903

License Information

License Number (1)
025185
License State (1)
NY
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
OC017413
License State (2)
PA
Taxonomy (2)
Occupational Therapist · 225X00000X
License Number (3)
46TR00957400
License State (3)
NJ
Taxonomy (3)
Occupational Therapist · 225X00000X · 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 Cheyenne Mazza?

The NPI number of Cheyenne Mazza is 1477139988. It was assigned on March 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Cheyenne Mazza?

Cheyenne Mazza is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 025185.

Where does Cheyenne Mazza practice?

The practice location is 1 Main St Ste 505, Eatontown, NJ 07724-3903. The office can be reached at 732-493-3100 (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 1477139988 directly on the NPPES registry website.

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