DAMIANO MAZZA (NPI# 1710398706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710398706 |
| Entity Type | Individual |
| Full Name | DAMIANO MAZZA |
| Practice Address |
42 Fencsak Ave Elmwood Park NJ 07407-1243 |
| Practice Telephone | 2013143326 |
| Mailing Telephone | 2013143326 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
42 FENCSAK AVE |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718422 | Peoplecare Inc | Orthotic Fitter | 220 Davidson Ave Ste 3d, Somerset, NJ 08873-4149 | 2019-12-27 |
| 1679008676 | Beneficial Medical Supply | Orthotic Fitter | 50 Us Highway 9 Ste 108, Grosso Office Park, Morganville, NJ 07751-1558 | 2017-04-27 |
| 1679010680 | Frank Grigoli | Orthotic Fitter | 8 Mineral Spring Rd, Millstone Township, NJ 08510-8754 | 2017-01-28 |
| 1689078313 | Eder Charles | Orthotic Fitter | 56 Clinton Pl, Newark, NJ 07108-1219 | 2014-10-09 |
| 1124437975 | Valerie Pagan | Orthotic Fitter | 154 Union Ave Apt 23, Rutherford, NJ 07070 | 2014-08-06 |
| 1396909784 | Lashes By Liz Dba Winks Hair & Lash Studio | Orthotic Fitter | 30 Monmouth St, Red Bank, NJ 07701 | 2008-07-15 |
| 1922293000 | Pomac | Orthotic Fitter | 365 C New Albany Rd., Moorestown, NJ 08057 | 2007-09-11 |
| 1942423728 | Brian J. Mulcahy | Orthotic Fitter | 573 Belleville Ave, Belleville, NJ 07109-1307 | 2007-04-10 |
| 1164549176 | Cathleen T. Walraven | Orthotic Fitter | 33 Broadway, Lady K Lingerie, Denville, NJ 07834-2705 | 2007-03-23 |
| 1235277336 | Delta Orthopedic Lab., Inc. | Orthotic Fitter | 1010 Summit Ave, Jersey City, NJ 07307-3519 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 07407 |
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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.