Kris Mammas, D.V.M.

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

29VI00294400 Issued in NJ

Practice address

256 Broadway
Bayonne, NJ 07002-2522

Phone

(201) 437-0100

Fax

(201) 437-8774

NPI assigned

Oct 8, 2008

Last updated

Oct 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayonne Veterinary Medical Building

  • Special Hospital
  • Bayonne, NJ
  • NPI 1154722486
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1356592331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022522",
            "telephone_number": "201-437-0100",
            "fax_number": "201-437-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022522",
            "telephone_number": "201-437-0100",
            "fax_number": "201-437-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMAS",
        "first_name": "KRIS",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00294400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Makely Jr., PT
• Nerissa Malabanan, MD
• Carmelita Pingol Malalis, M.D.
• Leilani Malibiran, R.P.T.
• Almarie Mamaril
• Miray Mankarious
• Zachary Mann, DDS
• Joana Mansourati
• Manzil Counseling LLC
• Richard E Marki, M.D.

• Veterinarian in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Veterinarian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.