MRS. AMANDA MAZZETTA PA-C
NPI 1801048103
Physician Assistant - Medical in Clark, NJ

Active since October 17, 2008PECOS EnrolledAccepts Medicare Assignment
1075 CENTRAL AVE, CLARK, NJ 07066(732) 574-1399(732) 574-1433 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Amanda Mazzetta Pa-c NPPES

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

MRS. AMANDA MAZZETTA PA-C (NPI 1801048103) is an individual medical provider in Clark, New Jersey, licensed in New Jersey (25MP00208400) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1801048103
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. AMANDA MAZZETTACredential: PA-C
Location Address1075 CENTRAL AVEClark, NJ 07066
Mailing Address1075 Central AveClark, NJ 07066 · (732) 574-1399 · Fax (732) 574-1433
Fax(732) 574-1433
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 17, 2008
Last NPPES UpdateNovember 30, 2016
NPI 1801048103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00208400
1075 CENTRAL AVE, Clark, NJ 07066

Other Names 1

Former Name (1)Amanda Tirado Pa-c

Other Identifiers 1

Medicare PIN159160TL9NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amanda Mazzetta Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345394847
PECOS Enrollment IDI20090818000735
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
264 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
158 services124 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
87 services79 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
86 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
47 services31 patients

Other Providers at the Same Location NPPES 8

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

Physician Assistant
1075 CENTRAL AVE
CLARK, NJ 07066
Family Medicine
1075 CENTRAL AVE
CLARK, NJ 07066
Nurse Practitioner (Family)
1075 CENTRAL AVE
CLARK, NJ 07066
Physician Assistant (Surgical)
1075 CENTRAL AVE
CLARK, NJ 07066
Dentist (Endodontics)
1075 CENTRAL AVE
CLARK, NJ 07066
Dermatology
1075 CENTRAL AVE
CLARK, NJ 07066
Dermatology
1075 CENTRAL AVE
CLARK, NJ 07066
Dentist (Endodontics)
1075 CENTRAL AVE
CLARK, NJ 07066

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 Amanda Mazzetta's NPI number?

The NPI number for Amanda Mazzetta is 1801048103. It was assigned to this individual provider in the NPPES registry on October 17, 2008. The provider is also known as Amanda Tirado Pa-C.

Where is Amanda Mazzetta located?

Amanda Mazzetta practices at 1075 Central Ave, Clark, NJ 07066. The listed phone number is (732) 574-1399.

What is Amanda Mazzetta's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amanda Mazzetta enrolled in Medicare?

Yes. Amanda Mazzetta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Mazzetta was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.