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

Maxwell Sebastian Mazzarino

Individual provider Surgical Physician Assistant · NPI 1417501289

Maxwell Sebastian Mazzarino is a Physician Assistant in New York, New York. Qualified in 2019, 7 years ago. Practices with Memorial Urgent Care Group, a 47-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1417501289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 30, 2019
Last updated in NPPESApril 3, 2021
Certification dateApril 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Memorial Urgent Care Group — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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