Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PHUONG MAZZA
NPI 1104720366
Clinic/Center - Federally Qualified Health Center (FQHC) in Springfield, MA

Active since October 02, 2026
1049 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Phuong Mazza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHUONG MAZZA (NPI 1104720366) is an individual federally qualified health center (fqhc) provider in Springfield, Massachusetts, licensed in Massachusetts (RN2354588) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104720366
Entity TypeIndividualFemale
Primary Taxonomy261QF0400X
Provider Legal NamePHUONG MAZZA
Location Address1049 MAIN STSpringfield, MA 01103-2114
Mailing Address1049 Main StSpringfield, MA 01103-2114
Sole ProprietorYes
Enumeration DateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1104720366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in MA · RN2354588
1049 MAIN ST, Springfield, MA 01103

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1049 MAIN ST
SPRINGFIELD, MA 01103
Pharmacy (Community/Retail Pharmacy)
1049 MAIN ST
SPRINGFIELD, MA 01103
Nurse Practitioner (Family)
1049 MAIN ST
SPRINGFIELD, MA 01103
Nurse Practitioner (Family)
1049 MAIN ST
SPRINGFIELD, MA 01103
Registered Nurse
1049 MAIN ST
SPRINGFIELD, MA 01103
Dentist
1049 MAIN ST
SPRINGFIELD, MA 01103
Pharmacist
1049 MAIN ST
SPRINGFIELD, MA 01103
Registered Nurse
1049 MAIN ST
SPRINGFIELD, MA 01103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phuong Mazza's NPI number?

The NPI number for Phuong Mazza is 1104720366. It was assigned to this individual provider in the NPPES registry on October 2, 2026.

Where is Phuong Mazza located?

Phuong Mazza practices at 1049 Main St, Springfield, MA 01103. The listed phone number is (413) 739-1100.

What is Phuong Mazza's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Phuong Mazza was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.