Individual provider Active NPI

Amit Sankar Mandal, MD

  • Internal Medicine Physician
  • East Patchogue, NY
National Provider Identifier
1093206567
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
312106 Issued in NY
Practice address
100 Hospital Rd Ste 201
East Patchogue, NY 11772-8814
Phone
(631) 475-6900
NPI assigned
May 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 312106 NY Primary

Addresses

Primary practice location

100 Hospital Rd Ste 201
East Patchogue, NY 11772-8814

Mailing address

100 Hospital Rd Ste 201
East Patchogue, NY 11772-8814
Phone (631) 475-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025002201 NY Practitioner - Internal MedicinePractitioner - Hospitalist 9436547452 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Allied Medical of Ny PCGroup PAC ID 9335590751, 11 clinicians
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

1 Old Country Rd
Suite 285
Carle Place, NY 11514-1824
Phone (973) 942-6005

612 Allerton Ave
Bronx, NY 10467-7404
Phone (718) 519-4014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
312106NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Medical Care PC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Allied Medical of Ny PC CurrentSince Aug 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 7, 2024 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Feb 7, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 7, 2024 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Jan 18, 2026 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Sep 12, 2023 Accepting new patients
World Chiropractic Incorporated Past Accepting new patients

Locations

510 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (973) 595-7555

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

1 Old Country Rd
Ste 285
Carle Place, NY 11514
Phone (973) 942-6005

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1093206567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 201",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728814",
            "telephone_number": "631-475-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 201",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728814",
            "telephone_number": "631-475-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAL",
        "first_name": "AMIT",
        "middle_name": "SANKAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "312106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.