Mazen S Itani (NPI# 1770555930, PAC ID# 1355369158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1770555930 |
| PAC ID by PECOS | 1355369158 |
| Professional Enrollment ID | I20070205000104 |
| Full Name | Mazen S Itani |
| Address |
183 Rte 206 Suite 2 Flanders NJ 07836-9261 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310028 | NEWTON MEDICAL CENTER |
| 310050 | SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS |
| 310017 | CHILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 183 Rte, 206 Suite 2, Flanders, NJ 07836-9261 | ||
| 651 Willow Grove St, Hckttstwn Rgnl Med Ctr, Hackettstown, NJ 07840-1799 |
| Street Address |
183 RTE 206 SUITE 2 |
| City | FLANDERS |
| State | NJ |
| Zip | 07836-9261 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Friedman | Family Medicine | Advocare LLC | 183 Us 206, Flanders, NJ 07836 |
| Suma B Ghanta | Family Medicine | Advocare LLC | 183 Us 206, Flanders, NJ 07836 |
| Alex M Mercado | Internal Medicine | Primary Care Partners LLC | 191 Us Hwy 206 5, Flanders, NJ 07836-9002 |
| Colleen M Drahos | Physical Therapy | Northern Hills Physical Therapy, LLC | 272 Us Hwy 206, Suite 210, Flanders, NJ 07836-9081 |
| Gregory R Salmond | Chiropractic | 272 Route 206, Suite 272, Flanders, NJ 07836-9081 | |
| Eileen C. Decaro | Physical Therapy | Northern Hills Physical Therapy, LLC | 272 Us Hwy 206, Suite 210, Flanders, NJ 07836-9081 |
| Samantha A Bell | Physical Therapy | Northern Hills Physical Therapy, LLC | 272 Us Hwy 206, Flanders, NJ 07836-9081 |
| Richard Corney | Optometry | 240 Rte 206, Flanders, NJ 07836-9134 | |
| Rajiv J Pathak | Internal Medicine | 230 Rte, 206 Suite 207, Flanders, NJ 07836-9190 | |
| Megan Katherine Dickerson | Physical Therapy | Drayer Physical Therapy of New Jersey LLC | 244 Us Hwy 206 3, Flanders, NJ 07836-9197 |
| Find all physicians in zip 07836 | |||
| City | FLANDERS |
| Zip Code | 07836 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FLANDERS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mazen S Itani.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.