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

Individual provider Physician Assistant · NPI 1629240692

Mr. Robert James Mazaroski, PA is a Physician Assistant in Garden City, New York. Qualified in 2001, 25 years ago. Practices with Long Island Plastic Surgical Group, PC, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

999 Franklin Ave
Garden City, NY 11530-2913
Phone: (516) 742-3404
Fax: (516) 629-3857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009302 (NY)

Record details

NPI number1629240692
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 30, 2008
Last updated in NPPESJanuary 31, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Long Island Plastic Surgical Group, Pc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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