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

Mazen S. Itani, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1770555930

Mazen S. Itani, MD is a General Surgery in Flanders, New Jersey. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2006
Specialties on file
3
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

183 US Highway 206 Ste 2
Flanders, NJ 07836
Phone: (973) 705-7202
Fax: (973) 705-7262
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA08075500 (NJ)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 25MA08075500 (NJ)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 25MA08075500 (NJ)

Record details

NPI number1770555930
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 2, 2006
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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