Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra M Mazzarese

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174988745

Alexandra M Mazzarese is a Physician Assistant in Marlton, New Jersey. Qualified in 2017, 9 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2015
Specialties on file
2

Practice location Address checks out

90 Brick Rd Fl 3
Marlton, NJ 08053-2177
Phone: (856) 355-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

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 number1174988745
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2015
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Marlton