Richard Mazzaccaro

MD | Pediatric Critical Care Medicine | Male

---

Complete Profile:

Richard Mazzaccaro basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	Richard Mazzaccaro
Credential :	MD
Gender :	Male

Business Address:

Richard Mazzaccaro address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	Cedar Crest Blvd & I-78 Allentown, PA, 18103 United States
Phone Number :	610-402-6700
Fax Number :	610-402-6744

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1851323224
NPI Entity Type :	Individual
First Enrolment Date :	07 Jul, 2006
Last Updated On :	17 Oct, 2016

Medicare Participation:

Richard Mazzaccaro participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9739153164
Medicare Enrollment ID :	I20040823000530
Primary Specialty :	Pediatric Medicine
Medical School :	Albert Einstein College Of Medicine Of Yeshiva University
Graduation Year :	2001
Accepts Medicare?	Yes. Richard Mazzaccaro accepts medicare insurance.

Group Practice Association:

Richard Mazzaccaro is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Richard Mazzaccaro is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Lehigh Valley Physician Group	3072425123	1530	1200 S Cedar Crest Blvd Lvpg General In Patient Pediatrics Allentown, PA - 181036202 Ph: 6104026700	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Mazzaccaro are as mentioned. Primary taxonomy code for Richard Mazzaccaro, MD is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD421920	PA
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	MD421920	PA

Legacy Identifiers:

Other legacy medical identifiers of Richard Mazzaccaro such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
101027932	MEDICAID	PA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 783311 Philadelphia, PA, 19178 United States
Phone Number :	484-884-4500
Fax Number :	484-884-0699

Business Location:

Patients can refer following map for directions to Richard Mazzaccaro practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.