Alexandra M Mazzarese

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Marlton, NJ

No coordinates on file. Search this address in Google Maps

Additional practice locations (4)

• 1001 Route 73 N Uppr Level A, Marlton, NJ 08053-4524 — (856) 988-4444
• 239 Hurffville Crosskeys Rd Ste 480a, Sewell, NJ 08080-4002 — (856) 988-3444
• 100 Bowman Dr Lowr Level2, Voorhees, NJ 08043-9612 — (856) 988-3444
• 218 Sunset Rd Fl 5, Willingboro, NJ 08046-1110 — (609) 835-2900

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 25MP00440600 (NJ)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1174988745
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	December 23, 2015
Last updated in NPPES	October 10, 2024
Certification date	October 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2017 (9 years in practice)
Group practice	Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Telehealth	Offers telehealth services
Practice locations	5 on file with Medicare