Rebecca Mammo, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

244649 Issued in NY

Practice address

145 Valentine LN
Apt 8D
Yonkers, NY 10705-3445

Phone

(218) 829-2020

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OphthalmologyAlso: General Practice, Optometry

Education

Harvard Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians

Well Wellness Medical PLLCGroup PAC ID 2567827876, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

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.

• Middletown Medical PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1902855828

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Well Wellness Medical PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1114620531
  Medicare reassignment Care Compare group NPD
• Ayman Z. Matta, M.D., P.C.

  dba New York Eye Institute

  • Ophthalmology Physician
  • Orangeburg, NY
  • NPI 1326267568
  Medicare reassignment NPD
• Bronx Medical Practice P.C.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1356726087
  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709
  Medicare reassignment NPD
• House Call Medical Services of New York, PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1851345946
  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Podiatrist
  • Bronx, NY
  • NPI 1720799158
  NPD
• Essen Medical Associates,PC

  • Legal Medicine (M.D./D.O.) Physician
  • Jamaica, NY
  • NPI 1700023926
  NPD
• Middletown Medical PC

  • Cardiac Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1174201529
  NPD
• Az Medical Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1871851295
  NPD (past)
• Four Season Medical PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1447785316
  NPD (past)
• Steven John Opticians PLLC

  • Optometrist
  • Bronx, NY
  • NPI 1235291535
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1508062118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 VALENTINE LN",
            "address_2": "APT 8D",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053445",
            "telephone_number": "218-829-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 VALENTINE LN",
            "address_2": "APT 8D",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053445",
            "telephone_number": "218-829-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMO",
        "first_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A77573",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "244649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A300215458",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brijesh Malkani, M.D.
• Allison Maloney, MS
• Adea Malsia
• Chinita Garcia Mamaril
• Jivin Mammen
• Anitha Varghese Mampallil, RPH
• Manach LLC (Lach Homecare Services)
• Maria Mancino
• Nicolette Michelle Mancusi, COTA/L
• Joseph V Manganelli, PHARM.D.

• Ophthalmology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.