CARL MAZZARA M.D. – NPI #1174527543
Otolaryngology

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Health Care Provider Taxonomy Code for Otolaryngology

CARL MAZZARA is an otolaryngologist located in ISELIN, NJ. NPPES has assigned the NPI number 1174527543 to CARL MAZZARA on June 13, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YX0007X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Plastic Surgery within the Head & Neck

The NPI profile was previously updated about 7 years ago on Apr 12, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARL MAZZARA below.

NPI Profile for
CARL MAZZARA

NPI Number
1174527543
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CARL MAZZARA
Credentials
M.D.
Primary location
485 ROUTE 1 SOUTH
SUITE 350
ISELIN, NJ 08830
Phone: (732) 549-3934 Fax: (732) 549-7250
1 Other location(s):
5 Lincoln Hwy
Ste 4
Edison, NJ 08820-3964
Phone: (732) 635-1800
Fax: (732) 635-1799
Mailing address
660 WHITE PLAINS RD FL 4
TARRYTOWN, NY 10591-5139
Phone: (914) 984-2546 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for CARL MAZZARA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA0954673
OTHERAMERIHEALTH598151
OTHERCIGNA0388738002
OTHERGHI0699933
OTHERHEALTHNETOK4425
OTHERHORIZON BCBS223561248
OTHEROXFORDLS356
OTHERQUALCARE223561248002
OTHERUNITED HEALTHCARE1275684
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0007X
- Otolaryngology / Plastic Surgery within the Head & Neck (Primary)		 NJ 25MA05350800
207Y00000X
- Otolaryngology		 NJ 25MA05350800
174400000X
- Specialist		 NJ MA053508

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI - Graduated 1988
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
CARL MAZZARA is affiliated with the following medical group(s):
  • HOSPITAL
    • JFK MEDICAL CENTER
      65 JAMES STREET
      EDISON, NJ 08820

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