Dr. Carl Mazzara
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
485 Route 1 South Suite 350
Iselin
, New Jersey 08830
Dr. Carl Mazzara
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
485 Route 1 South Suite 350
Iselin
, New Jersey 08830
(914) 984-2546
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Carl Mazzara
- 660 White Plains Rd Fl 4
- Tarrytown, NY
- Zip : 10591-5139
- Phone : (914) 984-2546
Second Address
- Dr. Carl Mazzara
- 485 Route 1 South Suite 350
- Iselin, NJ
- Zip : 08830
- Fax : (732) 549-7250
- Phone : (732) 549-3934
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Is Dr. Carl Mazzara a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA05350800 | NJ |
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 25MA05350800 | NJ |
National Provider Identifier
| NPI | 1174527543 |
|---|---|
| Provider Name | Dr. Carl Mazzara |
| First Address | Tarrytown, NY 10591-5139 |
| Second Address | Iselin, NJ 08830 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2005 |
| Last Update Date | 12/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0388738002 | CIGNA (01) | |
| 0699933 | GHI (01) | |
| 0954673 | AETNA (01) | |
| 1275684 | UNITED HEALTHCARE (01) | |
| 223561248 | HORIZON BCBS (01) | |
| 223561248002 | QUALCARE (01) | |
| 598151 | AMERIHEALTH (01) | |
| E86758 | (02) | NJ |
| LS356 | OXFORD (01) | |
| OK4425 | HEALTHNET (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.