Christine Mammaro, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

310365 Issued in NY

Practice address

31 Merrick Ave
Merrick, NY 11566-3477

Phone

(917) 582-0889

NPI assigned

Jul 16, 2021

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJCJCD/Endpoint/JJCJCD

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.

• Lynn O'Connor Physician P.C.

  • Colon & Rectal Surgery Physician
  • Huntington, NY
  • NPI 1548735970
  Medicare reassignment

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1528630761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E SHORE DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587620",
            "telephone_number": "917-582-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663477",
            "telephone_number": "917-582-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMARO",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Malis, PT
• Samantha Malis, LCSW
• Benjamin Malkin, LCSW
• Danielle Christina Malkusz-Lewis, PH.D.
• Pavlos Malonoukos, DMD
• Rosamaria Mammoliti-Woodiwiss, SLP
• Andrea F Mandelberger
• Kathleen Mangiaracina
• James Stefan Mansella, LMSW
• Salvatore Marchica

• Adult Health Nurse Practitioner in Merrick, NY
• Providers in Merrick, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.