GINA ZIPPO-MAZUR
NPI 1508442690
Counselor - Professional in Jackson, NJ

Active since March 20, 2021Opted out of Medicare · through Nov 6, 2027
5 KIMBERLY ST, JACKSON, NJ 08527(732) 687-8473 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2021, Mar 20, 2021 (2 updates tracked since 2021).

About Gina Zippo-mazur NPPES

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

GINA ZIPPO-MAZUR (NPI 1508442690) is an individual professional provider in Jackson, New Jersey, licensed in New Jersey (37PC00753800) and active in the NPI registry since March 2021. She has opted out of Medicare through November 6, 2027.

NPPES Registry Identity

NPI1508442690
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGINA ZIPPO-MAZUR
Location Address5 KIMBERLY STJackson, NJ 08527-2233
Mailing Address5 Kimberly StJackson, NJ 08527-2233 · (732) 687-8473
Sole ProprietorYes
Enumeration DateMarch 20, 2021
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
NPI 1508442690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NJ · 37PC00753800
5 KIMBERLY ST, Jackson, NJ 08527

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Gina Zippo-mazur has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2025 through November 6, 2027.

Opt-Out Effective DateNovember 6, 2025
Opt-Out In Effect ThroughNovember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Gina Zippo-mazur's NPI number?

The NPI number for Gina Zippo-mazur is 1508442690. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Gina Zippo-mazur located?

Gina Zippo-mazur practices at 5 Kimberly St, Jackson, NJ 08527. The listed phone number is (732) 687-8473.

What is Gina Zippo-mazur's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gina Zippo-mazur enrolled in Medicare?

No. Gina Zippo-mazur has opted out of Medicare through November 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gina Zippo-mazur was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.