IndividualActive
Amanda Mazzetta, PA-C
NPI 1801048103 · Medical Physician Assistant · Clark, NJ
Provider details
- NPI number
- 1801048103
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00208400 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1075 Central Ave
Clark, NJ 07066
Phone: (732) 574-1399
Fax: (732) 574-1433
Approximate (ZIP-level) locationGet directions
Mailing address
1075 Central Ave
Clark, NJ 07066
Registry dates
- Enumerated
- 2008-10-17
- Last updated
- 2016-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.