JEFFREY M MAZURE (NPI# 1053351924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053351924 |
| Entity Type | Individual |
| Full Name | JEFFREY M MAZURE |
| Credential | DO |
| Practice Address |
15 E Redman Ave Ste A Haddonfield NJ 08033-2316 |
| Mailing Address |
400 Laurel Oak Rd Ste 105 Voorhees NJ 08043-4455 |
| Practice Telephone | 8564281335 |
| Practice Fax Number | 8564281330 |
| Mailing Telephone | 8569229894 |
| Mailing Fax Number | 8569229890 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS-013105 | PA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MB74824 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022848140001 | 05 | |
| PA | 1022848140002 | 05 | |
| PA | RR MEDICARE GROUP | CD4829 | 01 |
| Street Address |
15 E REDMAN AVE STE A |
| City | HADDONFIELD |
| State | NJ |
| Zip Code | 08033-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447750641 | Jennifer Agnes Gould | Counselor | Haddonfield Psychiatry, 30 Washington Ave Suite E-1, Haddonfield, NJ 08033 | 2018-02-15 |
| 1073033593 | Bancroft Neurohealth | Clinic/Center | 425 Haddonfield Rd., Haddonfield, NJ 08033 | 2017-06-26 |
| 1063948446 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 Kings Court, Haddonfield, NJ 08033 | 2017-05-04 |
| 1568910008 | Garden State Family Chiropractic | Chiropractor | 15 E Euclid Ave Ste A, Haddonfield, NJ 08033 | 2016-09-13 |
| 1982060034 | Cooper University Hospital | Podiatrist | 37 Centre St, Apt 1, Haddonfield, NJ 08033 | 2016-01-05 |
| 1871965020 | Cristina C. Sertway | Nurse Practitioner | 31 Kings Highway East, Second Floor, Haddonfield, NJ 08033 | 2015-10-28 |
| 1225417603 | Winding Way | Day Training, Developmentally Disabled Services | 116 Ellis Street, Haddonfield, NJ 08033 | 2015-05-19 |
| 1528300720 | Linda Paul | Speech-Language Pathologist | 201 South Kings Highway, Haddonfileld, NJ 08033 | 2013-03-26 |
| 1447598685 | Louis George Palena | Counselor | 1409 Route 70e, Alternatives In Counseling, Cherry Hill, NJ 08033 | 2013-01-23 |
| 1316299506 | Carolyn A Fahy | Social Worker | 228 Kings Hwy East Suite 101, Haddonfield, NJ 08033 | 2012-10-11 |
| Find all providers in zip 08033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740848530 | Jefferson Health New Jersey Direct Primary Care, P.C. | Family Medicine | 308 N Haddon Ave Ste 308-1, Haddonfield, NJ 08033-1723 | 2019-06-05 |
| 1609168715 | Michael Curt Lafon | Family Medicine | 127 Hopkins Rd, Haddonfield, NJ 08033-2701 | 2011-05-08 |
| 1104077130 | Khayriyyah E.t. Chandler | Family Medicine | 25a Tanner St, Haddonfield, NJ 08033-2403 | 2008-10-08 |
| 1780841338 | Robert B Cohen | Family Medicine | 309 Crystal Lake Ave, Haddonfield, NJ 08033 | 2008-05-21 |
| 1265582274 | Leslie Wiener | Family Medicine | 518 Marquis Rd, Haddonfield, NJ 08033-4013 | 2007-01-11 |
| 1285726893 | Robert Aitken | Family Medicine | 324 Bradshaw Ave, Haddonfield, NJ 08033 | 2006-09-29 |
| 1588635296 | Jennifer Naticchia | Family Medicine | 80 Tanner St, Haddonfield, NJ 08033-2453 | 2006-01-30 |
| 1215935655 | Mark Anthony Oswald | Family Medicine | 215 E Cottage Ave, Haddonfield, NJ 08033-1824 | 2005-07-11 |
| 1336145465 | James W Vick | Family Medicine | 15 E Redman Ave, Haddonfield, NJ 08033-2316 | 2005-06-23 |
| 1104056282 | Meredith Ann Kenney | Family Medicine | 132 Grove St, Suite A, Haddonfield, NJ 08033-1224 | 2009-07-22 |
| Find all providers in HADDONFIELD | ||||
| City | HADDONFIELD |
| Zip Code | 08033 |
Please comment or provide details below to improve the information on JEFFREY M MAZURE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.