MR. JEFFREY ALBERT MAZZATTA (NPI# 1417059304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417059304 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ALBERT MAZZATTA |
| Credential | DPM |
| Practice Address |
1145 Beacon Ave Manahawkin NJ 08050-2471 |
| Practice Telephone | 6095976688 |
| Practice Fax Number | 6095979907 |
| Mailing Telephone | 6095976688 |
| Mailing Fax Number | 6095979907 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2012-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00239800 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7877901 | 05 | |
| NJ | AMERIHRALTH | 0334976000 | 01 |
| NJ | UNITED HEALTHCARE | 1743236 | 01 |
| NJ | CIGNA | 6318233004 | 01 |
| NJ | HEALTHNET | F17428 | 01 |
| NJ | OXFORD | P1134962 | 01 |
| Street Address |
1145 BEACON AVE |
| City | MANAHAWKIN |
| State | NJ |
| Zip Code | 08050-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316907603 | Thomas J Feneran | Urology | 1145 Beacon Ave, Manahawkin, NJ 08050-2471 | 2006-03-23 |
| 1821376377 | Lauren Rose Sernotti | Physician Assistant | 1145 Beacon Ave, Manahawkin, NJ 08050-2471 | 2011-08-02 |
| 1003964628 | Charles P Fernicola Md PC | Urology | 1145 Beacon Ave, Manahawkin, NJ 08050-2471 | 2007-01-08 |
| 1962587519 | Achilles Foot and Ankle Associates, P.a. | Podiatrist | 1145 Beacon Ave, Manahawkin, NJ 08050-2471 | 2006-10-25 |
| 1255433041 | Gregory John Mazzatta | Podiatrist | 1145 Beacon Ave, Manahawkin, NJ 08050-2471 | 2006-09-02 |
| 1063472694 | Charles P Fernicola | Urology | 1145 Beacon Ave, Manahawkin, NJ 08050-2471 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600588 | Ashley Egleston | Counselor | 297 Route 72 W Ste 35, Pmb 130, Manahawkin, NJ 08050 | 2020-05-14 |
| 1700428364 | Candice Lynn Ferretti | Counselor | Ocean Mental Health Services- Crisis Stabilization, 712 E. Bay Ave Ste 21-e, Manahawkin, NJ 08050 | 2019-10-15 |
| 1194366229 | A Place for Us Atlantic County Women's Center | Case Management | 98 Atlantis Ave, Manahawkin, NJ 08050 | 2019-09-30 |
| 1831669167 | Hcp Manahawkin Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1272 Route 72 West, Manahawkin, NJ 08050 | 2018-11-29 |
| 1659893576 | Sara Rodino | Physical Therapist | 183 Anchor Ave, Manahawkin, NJ 08050 | 2017-07-12 |
| 1922520980 | Donnah Marie Celentano | Nurse Practitioner | 547 Route 72 East, Manahawkin, NJ 08050 | 2017-07-12 |
| 1639612757 | Annemarie Sacco | Counselor | 1140 Nj-72, Manahawkin, NJ 08050 | 2016-11-21 |
| 1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
| 1760853188 | Jane Eremus-foster | Nurse Practitioner | 547 Route 72 W, Manahawkin, NJ 08050 | 2015-10-12 |
| 1710395579 | Stafford Medical P.a. | Specialist | 1346 Rt 72 W, Manahawkin, NJ 08050 | 2014-07-24 |
| Find all providers in zip 08050 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689822975 | Manahawkin Podiatry, LLC | Podiatrist | 102 E Bay Ave, Suite H, Manahawkin, NJ 08050-3175 | 2008-08-29 |
| 1730300856 | Coastal Foot & Ankle, LLC | Podiatrist | 1100 Route 72 W, Suite 307, Manahawkin, NJ 08050-2468 | 2007-05-02 |
| 1881811412 | Mark William Stephens | Podiatrist | 102 E Bay Ave, Suite G, Manahawkin, NJ 08050-3175 | 2007-04-18 |
| 1477645844 | Thomas Lembo Jr. | Podiatrist | 1301 Route 72 W, Suite 270, Manahawkin, NJ 08050-2483 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
| City | MANAHAWKIN |
| Zip Code | 08050 |
Please comment or provide details below to improve the information on MR. JEFFREY ALBERT MAZZATTA.
| 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.