Organization Active NPI

Renato Y Mandanas

  • Internal Medicine Physician
  • Oswego, NY
National Provider Identifier
1235338625
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
152086 Issued in NY
Legal business name
RENATO Y MANDANAS
Practice address
144 W 5TH St
Oswego, NY 13126-2552
Phone
(315) 342-1765
Fax
(315) 342-1742
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Dr. Renato Yap Mandanas, MDNPI 1154492296
Title
Owner/Employer
Phone
(315) 342-1765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 152086 NY Primary

Addresses

Primary practice location

144 W 5TH St
Oswego, NY 13126-2552

Mailing address

144 W 5TH St
Oswego, NY 13126-2552
Phone (315) 342-1765

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0165860Renato Y Mandanas MD144 West 5TH St, Oswego, NY 13126Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

144 W 5th St
Oswego, NY 13126
Phone (315) 342-1765

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1235338625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 5TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262552",
            "telephone_number": "315-342-1765",
            "fax_number": "315-342-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 5TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262552",
            "telephone_number": "315-342-1765",
            "fax_number": "315-342-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATO Y MANDANAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "MANDANAS",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "YAP",
        "authorized_official_title_or_position": "OWNER/EMPLOYER",
        "authorized_official_telephone_number": "315-342-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "152086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.