Active NPI
Laura Anne Lewis Mantell, M.D.
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1386755015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 167828 1
- Practice address
- 1430 2ND Ave
Suite 102
New York, NY 10021-3313 - Phone
- (212) 734-2902
- Fax
- (212) 734-9195
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 167828 1 | NY | Primary |
Addresses
Primary practice location
1430 2ND Ave
Suite 102
New York, NY 10021-3313
Mailing address
1430 2ND Ave
Suite 102
New York, NY 10021-3313
Phone (212) 734-2902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133678535 | Other | NY | FEDERAL TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167828 1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Physical Medicine & Rehabilitation, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1306050604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386755015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 2ND AVE",
"address_2": "SUITE 102",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213313",
"telephone_number": "212-734-2902",
"fax_number": "212-734-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 2ND AVE",
"address_2": "SUITE 102",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213313",
"telephone_number": "212-734-2902",
"fax_number": "212-734-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS MANTELL",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "167828 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "133678535",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.