DR. MANOJ JACOB MAMMEN (NPI# 1770778045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770778045 |
| Entity Type | Individual |
| Full Name | DR. MANOJ JACOB MAMMEN |
| Credential | M.D. |
| Practice Address |
100 High St # B-8 Department of Medicine Buffalo NY 14203-1126 |
| Practice Telephone | 7168592271 |
| Mailing Telephone | 7168592271 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2016-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M6273 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
257591 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
257591 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03251714 | 05 |
| Street Address |
100 HIGH ST # B-8 DEPARTMENT OF MEDICINE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
| Find all providers in zip 14203 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144268103 | Ravi K Desai, Md, PC | Internal Medicine | 33 Middlesex Rd, Buffalo, NY 14216-3615 | 2006-06-03 |
| 1396701843 | Iqbal Abdus Samad | Internal Medicine | 2148 Main St, Buffalo, NY 14214-2668 | 2006-04-25 |
| 1093913519 | Carla Anne Frederick | Internal Medicine | 100 High St, B8, Buffalo, NY 14203-1126 | 2007-07-05 |
| 1063623098 | Nathaniel Mark Ivanick | Internal Medicine | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2007-05-24 |
| 1295869816 | Bruce L Platt M.d.,p.c. | Internal Medicine | 1616 Kensington Ave, Buffalo, NY 14215-1433 | 2007-03-15 |
| 1265579536 | Anthony J Buscaglia | Internal Medicine | 515 Abbott Rd, Suite 102, Buffalo, NY 14220-1700 | 2007-01-30 |
| 1124129820 | Eric Tenbrock | Internal Medicine | 100 High St, Buffalo, NY 14203-1126 | 2006-09-26 |
| 1538269857 | Jamson Lwebuga-mukasa | Internal Medicine | 100 High St, Buffalo, NY 14203-1126 | 2006-09-25 |
| 1295838233 | M Jeffery Mador | Internal Medicine | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2006-09-06 |
| 1215042700 | William Gibbons | Internal Medicine | 100 High St, Buffalo, NY 14203-1126 | 2006-08-21 |
| Find all providers in BUFFALO | ||||
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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.