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KRISTEN DENISE MANTER MD NPI 1023084571


NPI Information

NPI: 1023084571
Provider Name: KRISTEN DENISE MANTER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: COMMUNITY HEALTHCARE NETWORK INC

PECOS Registration: Yes

Address:
9704 SUTPHIN BLVD
JAMAICA, NY
ZIP 11435
Phone: (718) 657-7088
Get Directions

Kristen Denise Manter, MD is a family medicine in Jamaica, NY with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kristen Denise Manter, MD NPI is 1023084571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2000

The provider's business location address is:

9704 SUTPHIN BLVD
JAMAICA, NY
ZIP 11435-721
Phone: (718) 657-7088
Fax: (718) 657-7092

The NPI 1023084571 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 7/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine228042 1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140426028484OTHERFIDELIS
2331954MEDICARE OSCAR/CERTIFICATIONWISCONSIN
3331945MEDICARE OSCAR/CERTIFICATIONWISCONSIN
4P3614958OTHEROXFORD
5204590101OTHERHEALTHPLUS
6I22839MEDICARE UPIN
7331978MEDICARE OSCAR/CERTIFICATIONWISCONSIN
8331058MEDICARE OSCAR/CERTIFICATIONWISCONSIN
900357451MEDICAIDNEW YORK
10331943MEDICARE OSCAR/CERTIFICATIONWISCONSIN
11112467268MA01OTHERCAREPLUS
12331818MEDICARE ID-TYPE UNSPECIFIED
13PC4845OTHERCENTERCARE CHP
14331952MEDICARE OSCAR/CERTIFICATIONWISCONSIN
15W6L111MEDICARE OSCAR/CERTIFICATIONWISCONSIN
16331946MEDICARE OSCAR/CERTIFICATIONWISCONSIN
17331009MEDICARE OSCAR/CERTIFICATIONWISCONSIN
18331944MEDICARE OSCAR/CERTIFICATIONWISCONSIN
19331947MEDICARE OSCAR/CERTIFICATIONWISCONSIN
20331043MEDICARE OSCAR/CERTIFICATIONWISCONSIN
21PPO5996243OTHERGHI
22G100000410MEDICARE OSCAR/CERTIFICATIONWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.