Alan Peter Mancusi Ungaro, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1498931 Issued in NY

Practice address

5700 W Genesee St
Suite 100 South
Camillus, NY 13031

Phone

(315) 488-6393

Fax

(315) 488-5854

NPI assigned

Oct 16, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Immediate Medical Care Associates, PLLC

  • Emergency Care Clinic/Center
  • Camillus, NY
  • NPI 1083698377

  Emergency Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437239290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "SUITE 100 SOUTH",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-488-6393",
            "fax_number": "315-488-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "SUITE 100 SOUTH",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-488-6393",
            "fax_number": "315-488-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSI UNGARO",
        "first_name": "ALAN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "1498931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Macdonald, PT
• Michael Machen, PHARMD
• Chloe Mack
• Marisa Maher, DACM, MSAOM, L.AC
• Lewis Joshua Malgieri, PH.D.
• David Christopher Manfredi, M.D.
• Stephen N Marshall, DPM
• Vincent Patrick Massaro
• Stephanie Ann Masterman, OPT
• Heather Mauro

• Emergency Medicine Physician in Camillus, NY
• Providers in Camillus, NY by specialty
• Emergency Medicine Physician in New York

• 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.

Verify at the official NPI Registry.