DR. ANDREY MAMKIN (NPI# 1447444104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447444104 |
| Entity Type | Individual |
| Full Name | DR. ANDREY MAMKIN |
| Credential | M.D. |
| Practice Address |
300 Crystal Run Rd Middletown NY 10941-4069 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
258509 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03722694 | 05 |
| Street Address |
300 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-4069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609863364 | Julian Nelson | Pediatrics | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2005-09-28 |
| 1750856274 | Caroline Elizabeth Stockert | Nurse Practitioner | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2018-10-11 |
| 1497963599 | Michaelle Antoine | Pediatrics | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2007-05-20 |
| 1417025321 | Lin Lin Yu Lin Remenar | Pediatrics | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2006-11-30 |
| 1679649933 | Jocelyn A. Dummett | Pediatrics | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2006-11-28 |
| 1922031962 | Aslam Jangda | Pediatrics | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2006-07-09 |
| 1194713347 | Jonathan Nasser | Internal Medicine | 300 Crystal Run Rd, Middletown, NY 10941-4069 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710233952 | Prajith Mepparambath | Pediatrics | 111 Maltese Dr, Middletown, NY 10940 | 2012-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861771990 | Larisa Anatolievna Rusyn | Pediatrics | 462 1st Ave Rm 8w52, New York, NY 10016-9196 | 2011-08-07 |
| 1285920314 | Yelena Kogelman | Pediatrics | 6701 Bay Pkwy, Brooklyn, NY 11204-4749 | 2011-06-27 |
| 1326346917 | Chitra Sekaran | Pediatrics | 2 Stonytown Rd, Manhasset, NY 11030-1118 | 2011-03-05 |
| 1497908826 | Bronx Pediatrics, PC | Pediatrics | 2869 Grand Concourse Ste 1, Bronx, NY 10468-1966 | 2008-10-29 |
| 1699927228 | Holly Caren Schachner | Pediatrics | 7 Winslow Pl, Larchmont, NY 10538-2612 | 2008-10-14 |
| 1427212612 | Loretta Iazzetti | Pediatrics | Box 1616, One Gustave Levy Place, New York, NY 10029 | 2008-07-16 |
| 1952565228 | Sofia Shapiro | Pediatrics | 192 Rte 117 Bypass Road, Mount Kisco Medical Group, PC, Bedford Hills, NY 10507-2146 | 2008-07-15 |
| 1528183480 | Queens Endocrinology Partners | Pediatrics | 9320 Roosevelt Ave # A, 2nd Fl, Jackson Heights, NY 11372-7904 | 2007-03-20 |
| 1548396914 | Elka E. Jacobson | Pediatrics | 445 Lenox Road Box 49, Suny Downstate Medical Center Pediactrics, Brooklyn, NY 11203 | 2007-02-27 |
| 1275695298 | Paul Saenger | Pediatrics | 150 Lockwood Ave Ste 34, New Rochelle, NY 10801-4914 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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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.