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

Kathryn Grace Mazzarella, NP

Individual provider Gerontology Nurse Practitioner · NPI 1922522929

Kathryn Grace Mazzarella, NP is a Nurse Practitioner in New York, New York. Qualified in 2017, 9 years ago. Practices with MSKCC Clinical Practice Plan, a 87-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1275 York Ave
New York, NY 10065
Phone: (516) 647-2075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 927502 (TX)

Record details

NPI number1922522929
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESNovember 9, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mskcc Clinical Practice Plan — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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