LISA MAZZA PA
NPI 1457472201
Physician Assistant - Medical in Long Island City, NY
About Lisa Mazza Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MAZZA PA (NPI 1457472201) is an individual medical provider in Long Island City, New York, licensed in New York (005839) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Mazza Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Lisa Mazza's NPI number?
The NPI number for Lisa Mazza is 1457472201. It was assigned to this individual provider in the NPPES registry on April 2, 2007.
Where is Lisa Mazza located?
Lisa Mazza practices at 2510 30th Ave, Long Island City, NY 11102. The listed phone number is (718) 267-4245.
What is Lisa Mazza's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Lisa Mazza enrolled in Medicare?
Yes. Lisa Mazza is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Mazza was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Lisa Mazza, PA · NPI 1457472201
Medical physician in Long Island City, New York. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1457472201 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 005839 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2510 30TH AVE, Long Island City, NY 11102-2448
- **Phone:** (718) 267-4245
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1457472201) · Data from the CMS NPPES public registry.