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

John Mroz

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578004750

John Mroz is a Nurse Practitioner in Patchogue, New York. Qualified in 2016, 10 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

450 Waverly Ave Ste 11
Patchogue, NY 11772-1555
Phone: (631) 730-7503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 402110 (NY)

Record details

NPI number1578004750
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESMarch 20, 2017
Mailing addressPo Box 1672, Commack, NY 11725-0959

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Patchogue