Justin D Mazur (NPI# 1962603068, PAC ID# 2567553001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1962603068 |
| PAC ID by PECOS | 2567553001 |
| Professional Enrollment ID | I20070813000221 |
| Full Name | Justin D Mazur |
| Organization Legal Name | PROHEALTH URGENT CARE MEDICINE PLLC |
| Address |
255 Union Tpke Glen Oaks NY 11004 |
| Phone Number | 5166226196 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8628299518 |
| Number of Group Practice Members | 137 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330119 | LENOX HILL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 255 Union Tpke, Glen Oaks, NY 11004 | 5166226196 | PROHEALTH URGENT CARE MEDICINE PLLC |
| Organization Legal Name | PROHEALTH URGENT CARE MEDICINE PLLC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Elise Moreno | Physician Assistant | Prohealth Urgent Care Medicine Pllc | 555 N Broadway, Jericho, NY 11753-2134 |
| Yelena Davydova | Family Medicine | Prohealth Urgent Care Medicine Pllc | 3448 Nostrand Ave, Brooklyn, NY 11229-5107 |
| Jennifer R. Osbourne | Family Medicine | Prohealth Urgent Care Medicine Pllc | 330 Court St, Brooklyn, NY 11231-4334 |
| Philip Degaetano | Family Medicine | Prohealth Urgent Care Medicine Pllc | 148 Merrick Rd, Amityville, NY 11701-3439 |
| Tricia Narine | Family Medicine | Prohealth Urgent Care Medicine Pllc | 1074 Old Country Rd, Plainview, NY 11803-4918 |
| Jessica M Chin Tan | Family Medicine | Prohealth Urgent Care Medicine Pllc | 13201 14th Ave, College Point, NY 11356-2044 |
| Jennifer Susan Khachadurian | Family Medicine | Prohealth Urgent Care Medicine Pllc | 254 -21 Nassau Blvd, Little Neck, NY 11362 |
| Lillian Carolina | Family Medicine | Prohealth Urgent Care Medicine Pllc | 257 W Park Ave, Long Beach, NY 11561-3222 |
| Charles Haddon Elijah Sadaphal | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 1158 Broadway, Hewlett, NY 11557-2302 |
| James P Spencer | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 1049 Morris Park Ave, Bronx, NY 10461-1410 |
| Street Address |
255 UNION TPKE |
| City | GLEN OAKS |
| State | NY |
| Zip | 11004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam D Fiterstein | Emergency Medicine | Prohealth Urgent Care Medicine Pllc | 255 Union Tpke, Glen Oaks, NY 11004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Aronson | Podiatry | 7651 263rd St, Floral Park, NY 11004-1142 | |
| John Q Young | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Stewart D Lipner | Psychologist, Clinical | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Delbert G Robinson | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Christopher Bulanowski | Hospitalist | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Virginia B Coman | Nurse Practitioner | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Anna K Costakis | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Xiaowei Sun | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Eric L Chen | Hospitalist | North Shore-lij Medical PC | 7559 263rd St, Rm 132, Glen Oaks, NY 11004-1150 |
| Juan A Gallego | Psychiatry | North Shore-lij Medical PC | 75 -59, Glen Oaks, NY 11004-1150 |
| Find all physicians in zip 11004 | |||
| City | GLEN OAKS |
| Zip Code | 11004 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GLEN OAKS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Justin D Mazur.
| 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.