DR. ROBERT M MAZZIOTTA (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1679635007

DR. ROBERT M MAZZIOTTA (M.D.) is a healthcare provider. based in Ridgewood, New Jersey. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA07950400 (NJ). The NPI Number for DR. ROBERT M MAZZIOTTA (M.D.) is 1679635007

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT M MAZZIOTTA (M.D.)
NPI
1679635007
Phone
(201) 447-8242
Address
223 N VAN DIEN AVE
Enumeration Date
14 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
2014478242
Graduation Year
2000 (26 years ago)
PAC ID
2466429972
Group Practice PAC ID
8527022904
Professional Enrollment ID
I20060118000015
Address ID
NJ074502726RI223XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

355 PATHOLOGY in NJ

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Provider Addresses for DR. ROBERT M MAZZIOTTA (M.D.)

  • The Valley Hospital, 223, North Van Dien Avenue, Southeast Ridgewood, Ridgewood, Bergen County, New Jersey, 07450, United States

    RIDGEWOOD, NJ 074502726

    Phone: (201) 447-8242

    Type: Location

  • 8, Valley Place, Tenafly, Bergen County, New Jersey, 07670, United States

    TENAFLY, NJ 076702730

    Phone: (201) 226-4457

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-01-18

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
I20060118000015IPathologyNJTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,732786$0
88185Flow cytometry technique for dna or cell analysis, each additional marker64640$0
88341Special stained specimen slides to examine tissue, each additional procedure488110$0
84165Protein measurement, serum376340$0
88342Special stained specimen slides to examine tissue, initial procedure330308$0
View full utilization report →

Insurance plans in this area (ZIP 07450)

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Provider's Procedures

DR. ROBERT M MAZZIOTTA (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYNJ88307Pathology examination of tissue using a microscope, moderately high complexity223155
PATHOLOGYNJ88342Tissue or cell analysis by immunologic technique2016

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: 8527022904View full group profile
NameSpecialtyState
P A T H O L O G YOH
P A T H O L O G YNJ
P A T H O L O G YNY
P A T H O L O G YNJ
P A T H O L O G YNY
P A T H O L O G YNY
-NJ

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Frequently asked questions

What identifier follows DR. ROBERT M MAZZIOTTA (M.D.) across health systems?
The NPI 1679635007 uniquely identifies DR. ROBERT M MAZZIOTTA (M.D.) in U.S. healthcare data.
Does the public listing show DR. ROBERT M MAZZIOTTA (M.D.) as active?
DR. ROBERT M MAZZIOTTA (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. ROBERT M MAZZIOTTA (M.D.) does?
Insurance directories may phrase it differently, but here DR. ROBERT M MAZZIOTTA (M.D.) maps to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ROBERT M MAZZIOTTA (M.D.)?
DR. ROBERT M MAZZIOTTA (M.D.) is associated with Ridgewood, New Jersey in the same public data insurers reference.
Who maintains DR. ROBERT M MAZZIOTTA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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