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MIMMA ALESSANDRA MAZZOLA PA-C
NPI 1356975411
Physician Assistant in Melville, NY

Active since February 27, 2020PECOS Enrolled
510 BROADHOLLOW RD, MELVILLE, NY 11747(631) 424-3600 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Oct 27, 2023, Feb 27, 2020 (3 updates tracked since 2020).

About Mimma Alessandra Mazzola Pa-c NPPES

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

MIMMA ALESSANDRA MAZZOLA PA-C (NPI 1356975411) is an individual physician assistant in Melville, New York, licensed in New York (025302) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mineola, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356975411
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIMMA ALESSANDRA MAZZOLACredential: PA-C
Location Address510 BROADHOLLOW RDMelville, NY 11747-3671
Mailing Address2018 Henry StNorth Bellmore, NY 11710-3216 · (718) 570-6889
Phone(631) 424-3600
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 27, 2020
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1356975411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 025302
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
510 BROADHOLLOW RD, Melville, NY 11747
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Secondary Practice Location 1

Location 1259 1st StMineola, NY 11501-3957 · Phone (516) 663-0333

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mimma Alessandra Mazzola Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42787442
PECOS Enrollment IDI20260423000010
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11747 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. YEE CHENG LOW MD
Plastic Surgery
510 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 424-3600
DANIELLE M TOTO LMSW
Social Worker
510 BROADHOLLOW RD, SUITE 202
MELVILLE, NY 11747
Suffolk County (631) 755-1809
ADVANCED COLON AND RECTAL SURGERY, PC
Clinic/Center (Medical Specialty)
510 BROADHOLLOW RD, SUITE 307
MELVILLE, NY 11747
Suffolk County (631) 756-2888
DR. MITCHELL B. SHAW D.D.S.
Dentist
510 BROADHOLLOW RD, SUITE 130
MELVILLE, NY 11747
Suffolk County (631) 271-1522
DR. SCOTT A SIEGEL D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
510 BROADHOLLOW RD, SUITE 130
MELVILLE, NY 11747
Suffolk County (631) 465-0300

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 Mimma Mazzola's NPI number?

The NPI number for Mimma Mazzola is 1356975411. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Mimma Mazzola located?

Mimma Mazzola practices at 510 Broadhollow Rd, Melville, NY 11747. The listed phone number is (631) 424-3600.

What is Mimma Mazzola's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mimma Mazzola enrolled in Medicare?

Yes. Mimma Mazzola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mimma Mazzola was last updated on May 7, 2024. 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.