MAZEN ITANI MD PC
NPI 1821186586
Surgery in Flanders, NJ

Q: What is Mazen Itani MD PC's NPI number?

The NPI number for Mazen Itani MD PC is 1821186586. It was assigned to this organization in the NPPES registry on October 10, 2006.

Q: What is Mazen Itani MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Mazen Itani MD PC was last updated on January 19, 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.

Active since October 10, 2006

183 US HIGHWAY 206 STE 2, FLANDERS, NJ 07836(973) 705-7202(973) 705-7262 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Mazen Itani Md Pc NPPES

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

MAZEN ITANI MD PC (NPI 1821186586) is a healthcare organization registered as a surgery in Flanders, New Jersey and active in the NPI registry since October 2006. The organization lists Mazen Itani, Owner, as its authorized official.

NPPES Registry Identity

NPI1821186586

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameMAZEN ITANI MD PC

Location Address183 US HIGHWAY 206 STE 2Flanders, NJ 07836-9261

Mailing Address62 Crestview RdMountain Lakes, NJ 07046-1224 · (973) 705-7202 · Fax (973) 705-7262

Phone(973) 705-7202

Fax(973) 705-7262

Organization SubpartNo

Authorized OfficialMazen ItaniOwner · (973) 705-7202

Enumeration DateOctober 10, 2006

Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2021

✔ NPI 1821186586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NJ · 25MA08075500

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 25MA08075500 (NJ)

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 25MA08075500 (NJ)

183 US HIGHWAY 206 STE 2, Flanders, NJ 07836

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mazen Itani Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mazen Itani MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mazen Itani, M.D.

General Surgery

NPI 1770555930

183 US HIGHWAY 206 STE 2
Flanders, NJ 07836

(973) 705-7202

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mazen Itani MD PC's NPI number?

The NPI number for Mazen Itani MD PC is 1821186586. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Mazen Itani MD PC located?

Mazen Itani MD PC is located at 183 Us Highway 206 Ste 2, Flanders, NJ 07836. The listed phone number is (973) 705-7202.

What is Mazen Itani MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mazen Itani MD PC enrolled in Medicare?

Yes. Mazen Itani MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mazen Itani MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Mazen Itani MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mazen Itani MD PC was last updated on January 19, 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.