JOHN J. MAZZUCCO, MD, LLC
NPI 1275721557
Clinic/Center - Health Service in Waterbury, CT

Active since October 11, 2007
1211 W MAIN ST, WATERBURY, CT 06708(203) 757-1580(203) 573-6090 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John J. Mazzucco, Md, Llc NPPES

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

JOHN J. MAZZUCCO, MD, LLC (NPI 1275721557) is a healthcare organization registered as a health service in Waterbury, Connecticut and active in the NPI registry since October 2007. The organization lists John Joseph Mazzucco, Manager, as its authorized official.

NPPES Registry Identity

NPI1275721557
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameJOHN J. MAZZUCCO, MD, LLC
Location Address1211 W MAIN STWaterbury, CT 06708-3106
Mailing Address1211 W Main StWaterbury, CT 06708-3106 · (203) 757-1580 · Fax (203) 573-6090
Fax(203) 573-6090
Organization SubpartNo
Authorized OfficialJohn Joseph MazzuccoManager · (203) 757-1580
Enumeration DateOctober 11, 2007
NPI 1275721557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in CT · 031891
1211 W MAIN ST, Waterbury, CT 06708

Other Identifiers 1

Medicare UPINF49068CT

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.

Podiatrist (Foot Surgery)
1211 W MAIN ST
WATERBURY, CT 06708
Orthopaedic Surgery (Sports Medicine)
1211 W MAIN ST
WATERBURY, CT 06708
Clinical Neuropsychologist
1211 W MAIN ST
WATERBURY, CT 06708
Podiatrist (Foot Surgery)
1211 W MAIN ST
WATERBURY, CT 06708
Physical Therapist
1211 W MAIN ST
WATERBURY, CT 06708
Physician Assistant (Surgical)
1211 W MAIN ST
WATERBURY, CT 06708
Surgery
1211 W MAIN ST
WATERBURY, CT 06708
Internal Medicine
1211 W MAIN ST
WATERBURY, CT 06708

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 John J. Mazzucco, MD, LLC's NPI number?

The NPI number for John J. Mazzucco, MD, LLC is 1275721557. It was assigned to this organization in the NPPES registry on October 11, 2007.

Where is John J. Mazzucco, MD, LLC located?

John J. Mazzucco, MD, LLC is located at 1211 W Main St, Waterbury, CT 06708. The listed phone number is (203) 757-1580.

What is John J. Mazzucco, MD, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for John J. Mazzucco, MD, LLC was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.