MR. GREGORY JOHN MAZZATTA DPM NPI 1255433041

NPI Information

  • NPI: 1255433041
  • Provider Name: MR. GREGORY JOHN MAZZATTA, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1145 BEACON AVE
    MANAHAWKIN, NJ
    ZIP 08050
  • Phone: (609) 597-6688

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NPI Details

MR. Gregory John Mazzatta, DPM is a podiatrist in Manahawkin, NJ with 31 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MR. Gregory John Mazzatta, DPM NPI is 1255433041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1994

The provider's business location address is:

1145 BEACON AVE
MANAHAWKIN, NJ
ZIP 08050-471
Phone: (609) 597-6688
Fax: (609) 597-9907

The NPI 1255433041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient custodial care facility, group care, or assisted living visit, typically 20 minutes (HCPCS:99324)

The enumeration date for this NPI number is 9/2/2006 and was last updated on 9/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist25MD00231500NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1012876MEDICARE PINNEW JERSEY
27079508MEDICAIDNEW JERSEY
3U59316MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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