Active NPI
Antoine Mansourati, MD
- Internal Medicine Physician
- Paterson, NJ
National Provider Identifier
1003493719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 82949
- Practice address
- 703 Main St
Paterson, NJ 07503-2621 - Phone
- (973) 754-2000
- NPI assigned
- Mar 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 82949 | CT | Primary |
Addresses
Primary practice location
703 Main St
Paterson, NJ 07503-2621
Mailing address
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
Other practice location 1
40 E Putnam Ave Ste 1B
Cos Cob, CT 06807-2606
Phone (203) 249-5442
Other practice location 2
90 Morgan St Ste 103
Stamford, CT 06905-5436
Phone (203) 978-3138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82949 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Office CT PLLC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- antoine.mansourati.1@29110.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Cos Cob, CT
- NPI 1962997940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769904000000",
"number": "1003493719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032621",
"telephone_number": "973-754-2000"
}
],
"practiceLocations": [
{
"address_1": "40 E Putnam Ave Ste 1B",
"address_purpose": "LOCATION",
"city": "Cos Cob",
"state": "CT",
"postal_code": "068072606",
"country_code": "US",
"telephone_number": "203-249-5442",
"fax_number": "203-325-3270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 Morgan St Ste 103",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "069055436",
"country_code": "US",
"telephone_number": "203-978-3138",
"fax_number": "203-325-3270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSOURATI",
"first_name": "ANTOINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-27",
"last_updated": "2026-02-01",
"certification_date": "2026-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "82949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.