DR. MICHAEL K MANTINAOS (NPI# 1154499168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154499168 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL K MANTINAOS |
| Credential | M.D. |
| Practice Address |
24 Catamaran Court Mount Arlington NJ 07856 |
| Practice Telephone | 9737701685 |
| Mailing Telephone | 9737701685 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MA073187 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 01867812 | 05 |
| Street Address |
24 CATAMARAN COURT |
| City | MOUNT ARLINGTON |
| State | NJ |
| Zip Code | 07856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388056 | Laura O'reilly-stanzilis | Registered Nurse | 31 Willow Street, Mount Arlington, NJ 07856 | 2019-07-22 |
| 1205207917 | Kathleen Alexander | Nurse Practitioner | 400 Valley Rd Ste 105, Mount Arlington, NJ 07856 | 2015-10-08 |
| 1699047134 | Trish Kathleen Upadhyay | Speech-Language Pathologist | 2 Hillside Drive, Mt Arlington, NJ 07856 | 2012-01-30 |
| 1538319413 | Marianne Sturman | Psychologist | 111 Howard Blv, Suite 204, Mt Arlington, NJ 07856 | 2008-09-26 |
| 1982976072 | Karen Lynn Tysonvonderheyde | Specialist | 2 Hillside Ave, Mount Arlington, NJ 07856 | 2012-02-03 |
| 1275601809 | Janine Lattuca Kelly | Dentist | 22 Howard Blvd, Suite 202, Mr Arlington, NJ 07856 | 2006-12-01 |
| 1346329067 | Landing Dental Office PC | Dentist | 22 Howard Blvd, Ste 202 Landing Dental Office PC, Mt Arlington, NJ 07856 | 2006-11-03 |
| 1023108081 | Joseph Pennacchio | Dentist | 22 Howard Blvd, Ste 202 Landing Dental Office PC, Mt Arlington, NJ 07856 | 2006-10-13 |
| 1760987382 | Jessica Gordils | Nutritionist | 36 Mountainview Ave, Mount Arlington, NJ 07856-1133 | 2018-03-26 |
| 1891357398 | Michael Celeste | Specialist/Technologist | 409 Howard Blvd, Mt Arlington, NJ 07856-1191 | 2019-07-03 |
| Find all providers in zip 07856 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427297 | Universal Diagnostics Solutions | Radiology | 992 Clifton Ave Fl 1, Clifton, NJ 07013-3502 | 2020-04-28 |
| 1841826567 | Mercer Diagnostic Imaging, LLC | Radiology | 1245 Whitehorse Mercerville Rd Ste 403, Hamilton, NJ 08619-3831 | 2020-03-13 |
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1982240248 | Edison Medical Imaging | Radiology | 1907 Oak Tree Rd Ste 101, Edison, NJ 08820-2070 | 2019-11-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1891269254 | Middletown Radiology LLC | Radiology | 1270 Rte 35 Ste 3, Middletown, NJ 07748-2014 | 2019-01-17 |
| 1033689401 | Bay Imaging Consultants Medical Group Inc | Radiology | 54 Ettl Cir, Princeton, NJ 08540-2326 | 2018-11-28 |
| 1598240285 | Advanced Women Imaging Professional Association | Radiology | 560a 60th St, West New York, NJ 07093-1487 | 2018-09-27 |
| 1376034520 | Sonoview Imaging LLC | Radiology | 5600 Kennedy Blvd W Ste 108, West New York, NJ 07093-1256 | 2018-05-23 |
| 1215443866 | Atlantic Diagnostic Services, Ipa, LLC | Radiology | 110 South Jefferson Road, Suite 201, Whippany, NJ 07981 | 2017-12-19 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT ARLINGTON |
| Zip Code | 07856 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.