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

Mrs. Amanda Mazzetta, PA-C

Individual provider Medical Physician Assistant · NPI 1801048103

Mrs. Amanda Mazzetta, PA-C is a Physician Assistant in Clark, New Jersey. Qualified in 2008, 18 years ago. Practices with Clark Dermatology LLC, a 46-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
18
Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1075 Central Ave
Clark, NJ 07066
Phone: (732) 574-1399
Fax: (732) 574-1433
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00208400 (NJ)

Record details

NPI number1801048103
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2008
Last updated in NPPESNovember 30, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Clark Dermatology Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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