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DR. ALEXANDRA MAZO MD
NPI 1194202283
Pediatrics - Pediatric Nephrology in Hawthorne, NY

Active since July 23, 2018PECOS EnrolledAccepts Medicare Assignment
19 BRADHURST AVE STE 1400, HAWTHORNE, NY 10532(916) 461-4140 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Apr 9, 2023, Jun 4, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Alexandra Mazo Md NPPES

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

DR. ALEXANDRA MAZO MD (NPI 1194202283) is an individual pediatric nephrology provider in Hawthorne, New York, licensed in New York (322213) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194202283
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. ALEXANDRA MAZOCredential: MD
Location Address19 BRADHURST AVE STE 1400Hawthorne, NY 10532-2144
Mailing Address400 Columbus Ave Ste 200eValhalla, NY 10595-1392 · (914) 614-4140 · Fax (914) 614-4141
Phone(916) 461-4140
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 23, 2018
Last NPPES UpdateAugust 18, 20235 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1194202283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in NY · 322213
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
19 BRADHURST AVE STE 1400, Hawthorne, NY 10532
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexandra Mazo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527420868
PECOS Enrollment IDI20230817002320
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

JEFFREY E. VERGALES M.D.
Pediatrics (Pediatric Cardiology)
19 BRADHURST AVE STE 1400
HAWTHORNE, NY 10532
Westchester County (914) 614-4250
NEHA AHLUWALIA
Pediatrics (Pediatric Cardiology)
19 BRADHURST AVE STE 1400
HAWTHORNE, NY 10532
Westchester County (914) 614-4250
ALEXANDRA LINDER M.D.
Pediatrics (Pediatric Cardiology)
19 BRADHURST AVE STE 1400
HAWTHORNE, NY 10532
Westchester County (914) 614-4250
LISA ANN MONCHIL RRT
Respiratory Therapist, Registered
19 BRADHURST AVE STE 1400
HAWTHORNE, NY 10532
Westchester County (914) 593-8882

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 Alexandra Mazo's NPI number?

The NPI number for Alexandra Mazo is 1194202283. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Alexandra Mazo located?

Alexandra Mazo practices at 19 Bradhurst Ave Ste 1400, Hawthorne, NY 10532. The listed phone number is (916) 461-4140.

What is Alexandra Mazo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Alexandra Mazo enrolled in Medicare?

Yes. Alexandra Mazo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexandra Mazo was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.