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

Dr. Alexandra Mazo, MD

Individual provider Pediatric Nephrology Physician · NPI 1194202283

Dr. Alexandra Mazo, MD is a Pediatric Medicine in Hawthorne, New York. Qualified in 2006, 20 years ago. Practices with Boston Children's Health Physicians LLP, a 82-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19 Bradhurst Ave Ste 1400
Hawthorne, NY 10532-2144
Phone: (916) 461-4140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence 322213 (NY)

Record details

NPI number1194202283
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address400 Columbus Ave Ste 200e, Valhalla, NY 10595-1392

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Boston Children'S Health Physicians Llp — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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