Active NPI
Priya Elizabeth Mammen, MD
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD434293
- Practice address
- 1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002 - Phone
- (215) 955-6844
- Fax
- (215) 955-2526
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD434293 | PA | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD434293 | PA |
Addresses
Primary practice location
1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Other practice location 1
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (484) 862-3232
Other practice location 2
500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0169692 | Medicaid | NJ | |
| 102189701 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Temple University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8407
640 S State St
Bayhealth Emergency Physicians KGH
Dover, DE 19901-3530
Phone (302) 744-6156
700 E Broad St
LVPG Emergency Medicine
Hazleton, PA 18201-6835
Phone (570) 501-4193
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Emergency Medical Services | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Emergency Medicine | Current | Accepting new patients |
Locations
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
Organizations & group practices 11
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.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Emergency Medicine Physician
- Dover, DE
- NPI 1073012696
-
dba Bayhealth Observation Physicians
- Emergency Medicine Physician
- Dover, DE
- NPI 1679072144
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1023430766
-
- Emergency Medicine Physician
- Thibodaux, LA
- NPI 1568910503
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
dba LVPG Pocono IP Psychiatry
- Psychiatry Physician
- Bethlehem, PA
- NPI 1427292630
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Emergency Medicine
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hershey, PA
- NPI 1730154113
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hazleton General Hospital
- General Acute Care Hospital
- Hazleton, PA
- NPI 1548322720
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1780845297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SANSOM ST",
"address_2": "SUITE 239",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075002",
"telephone_number": "215-955-6844",
"fax_number": "215-955-2526"
}
],
"practiceLocations": [
{
"address_1": "1200 S Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036202",
"country_code": "US",
"telephone_number": "484-862-3232",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "800-243-1455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAMMEN",
"first_name": "PRIYA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD434293",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "PA",
"license": "MD434293",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0169692",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102189701",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.