ALEXANDRA M MAZZARESE – Physician Assistant, NPI 1174988745

ALEXANDRA M MAZZARESE is a healthcare provider. based in Marlton, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold a License No. 25MP00440600 (NJ). The NPI Number for ALEXANDRA M MAZZARESE is 1174988745

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA M MAZZARESE
NPI
1174988745
Phone
(856) 988-3444
Address
651 ROUTE 73 N STE 204
Enumeration Date
23 December 2015
Last Update Date
10 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
2365708542
Group Practice PAC ID
9830222397
Professional Enrollment ID
I20171103000226
Address ID
NJ085054517BO3242X206X300
Telehealth
Yes

Contacts

Secure Messaging
amazzarese13847@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for ALEXANDRA M MAZZARESE

  • 651 ROUTE 73 N STE 204

    MARLTON, NJ 080533447

    Phone: (856) 988-3444

    Type: Location

  • 100 Bowman Dr Lowr Level2

    Voorhees, NJ 080439612

    Phone: (856) 988-3444

    Type: Location

  • 239 Hurffville Crosskeys Rd Ste 480A

    Sewell, NJ 080804002

    Phone: (856) 988-3444

    Fax: (856) 988-0553

    Type: Location

  • 218 Sunset Rd Fl 5

    Willingboro, NJ 080461110

    Phone: (609) 835-2900

    Type: Location

  • 1001 Route 73 N Uppr Level A

    Marlton, NJ 080534524

    Phone: (856) 988-4444

    Fax: (856) 988-0553

    Type: Location

  • 241 S 49TH ST APT 321

    PHILADELPHIA, PA 191394285

    Phone: (908) 432-2434

    Type: Mailing

  • 90 BRICK RD FL 3

    MARLTON, NJ 080532177

    Phone: (856) 355-6000

    Type: Location

  • 1001 ROUTE 73 N UPPR LEVELA

    MARLTON, NJ 080534524

    Phone: (856) 988-4444

    Fax: (856) 988-0553

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-08-25 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171103000226IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes265257$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6950$0
View full utilization report →

Insurance plans in this area (ZIP 08053)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830222397View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ALEXANDRA M MAZZARESE's NPI?
Yes. ALEXANDRA M MAZZARESE is listed with NPI 1174988745 in the public NPI dataset.
Can I rely on ALEXANDRA M MAZZARESE being an active provider?
As of the registry snapshot, ALEXANDRA M MAZZARESE is marked active.
What healthcare role does ALEXANDRA M MAZZARESE hold?
Scheduling teams often label ALEXANDRA M MAZZARESE under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does ALEXANDRA M MAZZARESE serve?
ALEXANDRA M MAZZARESE's listing highlights Marlton, New Jersey; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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