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

Dr. Andrew Mazur, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1972576007

Dr. Andrew Mazur, MD is a Physical Medicine and Rehabilitation in Providence, Rhode Island. Graduated from State University of New York Downstate Medical Center in 1991, 35 years ago. Practices with Southeast Rehabilitation Associates, PC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
35
Trained at
State University of New York Downstate Medical Center
Licensed in
MA, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

765 Allens Ave Ste 110
Providence, RI 02905-5443
Phone: (401) 432-6800
Fax: (401) 432-6832
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 277 Pleasant St Ste 101, Fall River, MA 02721-3005 — (508) 676-3292
  • 164 Summit Ave, Providence, RI 02906-2853 — (401) 845-1652

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 150693 (MA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD09581 (RI)

Record details

NPI number1972576007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2006
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address765 Allens Ave Ste 104, Providence, RI 02905-5443

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1991 (35 years in practice)
Group practice Southeast Rehabilitation Associates, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence