JOEL MAMON NPI 1346590296

NPI Information

  • NPI: 1346590296
  • Provider Name: JOEL MAMON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 818 ELLICOTT ST
    BUFFALO, NY
    ZIP 14203
  • Phone: (716) 323-3000

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NPI Details

Joel Mamon is a family nurse practitioner in Buffalo, NY. Joel Mamon NPI is 1346590296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

818 ELLICOTT ST
BUFFALO, NY
ZIP 14203-021
Phone: (716) 323-3000

The NPI 1346590296 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 9/18/2012 and was last updated on 7/23/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse660142-1NEW YORKNo
2363LF0000XNurse PractitionerFamilyF343353-1NEW YORKYes

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: 3/30/2025

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