Marie R. Mammone, N.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

000212 Issued in CT

Practice address

274 Silas Deane Hwy
Wethersfield, CT 06109-1732

Phone

(860) 529-1200

Fax

(860) 882-1935

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1164446175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091732",
            "telephone_number": "860-529-1200",
            "fax_number": "860-882-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091732",
            "telephone_number": "860-529-1200",
            "fax_number": "860-882-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMONE",
        "first_name": "MARIE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "000212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT CARE",
            "identifier": "212000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "110000212CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Kent Luginbuhl, PT
• Hugh D. Macarthur, D.M.D.
• Peter Mace, CPO
• John C Madigan Jr., M.D.
• John Mammone
• Komsu F Mamuya, MD
• Marie Louise Mancini-Oliveira, MS, OTR/L
• Jay S. Mandell, DMD
• Analissa Mandile, DPT
• William P Marco II, D.M.D.

• General Practice Physician in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.