Mazen S Itani, MD
Surgery in Flanders, New Jersey
1770555930- Practice location
- 183 US Highway 206 Ste 2, Flanders, NJ 07836
- Phone
- 973-705-7202
- Fax
- 973-705-7262
- Last updated
- January 19, 2021
Mazen S. Itani is a Surgery based in Flanders, NJ. Mazen S. Itani practices in Flanders, NJ and has the professional credentials of MD. The NPI Number for Mazen S. Itani is 1770555930 and holds a License No. 25MA08075500 (NJ). The current practice location address for Mazen S. Itani is 183 US Highway 206 Ste 2, Flanders, NJ 07836 and can be reached out via phone at 973-705-7202 and via fax at 973-705-7262.
Provider Profile Details
- NPI Number
- 1770555930
- Provider Name
- Mazen S. Itani
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 183 US Highway 206 Ste 2, Flanders, NJ 07836
- Phone Number
- 973-705-7202
- Fax Number
- 973-705-7262
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 2, 2006
- Last Update Date
- January 19, 2021
- Certification Date
- January 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 183 US Highway 206 Ste 2
Flanders, NJ 07836 - City
- Flanders
- State
- New Jersey
- Zip
- 07836
- Phone Number
- 973-705-7202
- Fax Number
- 973-705-7262
Provider Business Mailing Address Details
- Address
- 62 Crestview RD
Mountain Lakes, NJ 07046-1224 - City
- Mountain Lakes
- State
- NJ
- Zip
- 07046-1224
- Phone Number
- 973-705-7202
- Fax Number
- 973-705-7262
License Information
- License Number (1)
- 25MA08075500
- License State (1)
- NJ
- Taxonomy (1)
- Radiology, Vascular & Interventional Radiology · 2085R0204X
- License Number (2)
- 25MA08075500
- License State (2)
- NJ
- License Number (3)
- 25MA08075500
- License State (3)
- NJ
- Taxonomy (3)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mazen S Itani, MD?
The NPI number of Mazen S Itani, MD is 1770555930. It was assigned on February 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Mazen S Itani, MD?
Mazen S Itani, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA08075500.
Where does Mazen S Itani, MD practice?
The practice location is 183 US Highway 206 Ste 2, Flanders, NJ 07836. The office can be reached at 973-705-7202 (phone) or 973-705-7262 (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 1770555930 directly on the NPPES registry website.