JOHN J. MAZZUCCO, MD, LLC (NPI# 1275721557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275721557 |
| Entity Type | Organization |
| Organization Name | JOHN J. MAZZUCCO, MD, LLC |
| Practice Address |
1211 W Main St Waterbury CT 06708-3106 |
| Practice Telephone | 2037571580 |
| Practice Fax Number | 2035736090 |
| Mailing Telephone | 2037571580 |
| Mailing Fax Number | 2035736090 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | DR. JOHN JOSEPH MAZZUCCO (MANAGER) |
| Authorized Official Telephone | 2037571580 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
031891 | CT | Ambulatory Health Care Facilities |
| Street Address |
1211 W MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891777918 | Alan Robert Houle | Physician Assistant | 1211 W Main St, Waterbury, CT 06708-3106 | 2005-11-15 |
| 1487108502 | Joanna Fisher | Physical Therapist | 1211 W Main St, Waterbury, CT 06708-3106 | 2016-08-05 |
| 1528511730 | Joseph Mabry | Physical Therapy Assistant | 1211 W Main St, Waterbury, CT 06708-3106 | 2016-07-25 |
| 1750687901 | Ronald Matthew Barbieri | Physical Therapist | 1211 W Main St, Waterbury, CT 06708-3106 | 2011-02-07 |
| 1588810386 | Jessica Vinokur | Podiatrist | 1211 W Main St, Waterbury, CT 06708-3106 | 2008-08-12 |
| 1003008343 | Bruce & Marilyn Vinokur Foot Care Group LLC | Durable Medical Equipment & Medical Supplies | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-08-10 |
| 1558563957 | Waterbury Orthopaedic Associates PC | Physical Therapist | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-06-05 |
| 1285848044 | Surgical Associates of Waterbury, P.C. | Surgery | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-05-10 |
| 1740303544 | Teresa Michelle Mariani | Orthopaedic Surgery | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-04-08 |
| 1982775276 | Waterbury Orthopaedic Associates P C | Durable Medical Equipment & Medical Supplies | 1211 W Main St, Waterbury, CT 06708-3106 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098180 | Wheeler Clinic Inc | Clinic/Center | 855 Lakewood Rd, Waterbury, CT 06704-5408 | 2019-05-16 |
| 1932456068 | Headzone LLC | Clinic/Center | 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 | 2012-08-08 |
| 1063720597 | Mckenna Family Chiropractic LLC | Clinic/Center | 1869 E Main St, Waterbury, CT 06705-1819 | 2010-09-17 |
| 1316199854 | Concentra Health Services, Inc. | Clinic/Center | 8 South Commons Road, Waterbury, CT 60704-1035 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725878 | Emily Garber Aprn, Pllc | Clinic/Center | 6515 Main St Ste 1l, Trumbull, CT 06611-6350 | 2020-03-22 |
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1326469024 | Sugati Health and Wellness | Clinic/Center | 37 W Town St, Lebanon, CT 06249-1536 | 2013-12-23 |
| 1225379837 | H. Robert Silverstein Md Facc PC | Clinic/Center | 1000 Asylum Ave Ste 2109, Hartford, CT 06105-1719 | 2013-03-06 |
| 1003167701 | Stec Md Clinic PC | Clinic/Center | 31 Strawberry Hill Ave Ste 104, Stamford, CT 06902-2681 | 2012-09-21 |
| 1477719839 | Woodbury Walk-in Clinic, LLC | Clinic/Center | 238 Main St S, Woodbury, CT 06798-3407 | 2008-08-04 |
| 1063693935 | Boylan Chiropractic LLC | Clinic/Center | 2 Library Place, Bethel, CT 06801-2106 | 2007-11-20 |
| 1831311257 | Guilford Chiropractic Wellness LLC | Clinic/Center | 728 Long Hill Rd, Guilford, CT 06437 | 2007-05-03 |
| 1114046273 | City of Bridgeport Health Dept. School Based Health Center | Clinic/Center | 130 Ezra St, Bridgeport, CT 06606-5061 | 2007-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.