DR. SAMANTHA MAZZA MD
NPI 1740903186
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Q: What is Samantha Mazza's NPI number?

The NPI number for Samantha Mazza is 1740903186. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Q: What is Samantha Mazza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Mazza was last updated on April 17, 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.

Active since September 21, 2022PECOS Enrolled

825 FAIRFAX AVE # 544, NORFOLK, VA 23507(757) 446-7900 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, Sep 21, 2022 (2 updates tracked since 2022).

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About Dr. Samantha Mazza Md NPPES

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

DR. SAMANTHA MAZZA MD (NPI 1740903186) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740903186

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SAMANTHA MAZZACredential: MD

Location Address825 FAIRFAX AVE # 544Norfolk, VA 23507-1914

Mailing Address825 Fairfax Ave # 544Norfolk, VA 23507-1914

Phone(757) 446-7900

Sole ProprietorNo

Enumeration DateSeptember 21, 2022

Last NPPES UpdateApril 17, 20242 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1740903186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

825 FAIRFAX AVE # 544, Norfolk, VA 23507

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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 (PECOS)

Dr. Samantha Mazza Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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

NEALY MINSON MD

Student in an Organized Health Care Education/Training Program