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

Dr. Robert M Mazziotta, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1679635007

Dr. Robert M Mazziotta, MD is a Pathology in Ridgewood, New Jersey. Graduated from Rutgers New Jersey Medical School in 2000, 26 years ago. Practices with Ridgewood Pathology Group, PA, a 7-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
26
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2006
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

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone: (201) 447-8242
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 25MA07950400 (NJ)

Record details

NPI number1679635007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESJuly 8, 2007
Mailing address8 Valley Pl, Tenafly, NJ 07670-2730

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Ridgewood Pathology Group,Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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