Mannat Thakur Kamboj, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

869166 Issued in NY

Practice address

265 Broadhollow Rd
Melville, NY 11747-4833

Phone

(631) 824-4115

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1093548638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SYCAMORE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772521",
            "telephone_number": "516-286-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474833",
            "telephone_number": "631-824-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBOJ",
        "first_name": "MANNAT",
        "middle_name": "THAKUR",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "869166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelina Kahn-Kapp, MD
• Prabhakar Balkrishna Kale, M.D.
• Kelli Kaletcher
• Jenny Kam, M.D.
• Khawla Kamal
• Nicole Kamel
• Peter R Kampf, D.D.S.
• Nimalka Kandamige
• Liana Kandchorov
• Erica Rachel Kaplan, D.D.S.

• Pediatric Registered Nurse in Melville, NY
• Providers in Melville, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.