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DR. MANOJ JACOB MAMMEN M.D. NPI 1770778045


NPI Information

NPI: 1770778045
Provider Name: DR. MANOJ JACOB MAMMEN, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
601 ELMWOOD AVE.
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-4161
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DR. Manoj Jacob Mammen, M.D. is a pulmonary disease internal medicine in Rochester, NY with 20 years of experience. The provider is 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. DR. Manoj Jacob Mammen, M.D. NPI is 1770778045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

601 ELMWOOD AVE.
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-4161
Fax: (585) 273-1171

The NPI 1770778045 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Measurement of lung diffusing capacity (HCPCS:94729)
  • Determination of lung volumes using plethysmography (HCPCS:94726)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)

The enumeration date for this NPI number is 9/10/2007 and was last updated on 7/17/2023.


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
1207R00000XInternal MedicineM6273TEXASNo
2207RC0200XInternal MedicineCritical Care Medicine257591NEW YORKNo
3363A00000XPhysician Assistant257591NEW YORKNo
4207RP1001XInternal MedicinePulmonary Disease257591NEW 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
103251714MEDICAIDNEW YORK

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: 4/28/2024

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.