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

Jacqueline Mazzone

Individual provider Pediatric Physical Therapist · NPI 1760338255

Jacqueline Mazzone is a Pediatric Physical Therapist in Nutley, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

29 Edison Ave
Nutley, NJ 07110-1008
Phone: (201) 320-7342
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 40QA01656200 (NJ)

Record details

NPI number1760338255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2026
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address29 Edison Ave, Nutley, NJ 07110-1008