MS. CANDICE MARIE MAZZONI PA-C
NPI 1982125084
Physician Assistant in Toms River, NJ

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
300 W WATER ST, TOMS RIVER, NJ 08753(732) 755-8640 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2019, Jun 29, 2017 (2 updates tracked since 2017).

About Ms. Candice Marie Mazzoni Pa-c NPPES

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

MS. CANDICE MARIE MAZZONI PA-C (NPI 1982125084) is an individual physician assistant in Toms River, New Jersey and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains a secondary practice location in Toms River.

NPPES Registry Identity

NPI1982125084
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CANDICE MARIE MAZZONICredential: PA-C
Location Address300 W WATER STToms River, NJ 08753-6692
Mailing Address402 Princeton AveBrick, NJ 08724-4826 · (732) 735-5295
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration
NPI 1982125084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 W WATER ST, Toms River, NJ 08753

Secondary Practice Location 1

Location 1300 W Water StToms River, NJ 08753-6692 · Phone (732) 755-8640

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

Ms. Candice Marie Mazzoni 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 ID4385910694
PECOS Enrollment IDI20171031002474
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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services25 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 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.
14 services12 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

Non-Pharmacy Dispensing Site
300 W WATER ST
TOMS RIVER, NJ 08753
Physical Therapist
300 W WATER ST
TOMS RIVER, NJ 08753
Chiropractor (Rehabilitation)
300 W WATER ST, SUITE D
TOMS RIVER, NJ 08753
Physical Therapist (Orthopedic)
300 W WATER ST
TOMS RIVER, NJ 08753
Clinic/Center
300 W WATER ST
TOMS RIVER, NJ 08753
Anesthesiology (Pain Medicine)
300 W WATER ST, SUITE A
TOMS RIVER, NJ 08753
Nurse Practitioner
300 W WATER ST
TOMS RIVER, NJ 08753
Family Medicine
300 W WATER ST
TOMS RIVER, NJ 08753

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 Candice Mazzoni's NPI number?

The NPI number for Candice Mazzoni is 1982125084. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Candice Mazzoni located?

Candice Mazzoni practices at 300 W Water St, Toms River, NJ 08753. The listed phone number is (732) 755-8640.

What is Candice Mazzoni's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Candice Mazzoni enrolled in Medicare?

Yes. Candice Mazzoni 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.

Is Candice Mazzoni affiliated with any hospitals?

According to CMS data, Candice Mazzoni is affiliated with Riverview Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Bayshore Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Candice Mazzoni was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.