Susan Meroy Mamot, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044490 Issued in NY

Practice address

347 5TH Ave
Suite 703B
New York, NY 10016-5010

Phone

(212) 685-4150

Fax

(212) 213-6882

NPI assigned

Aug 12, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1821220641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE",
            "address_2": "SUITE 703B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165010",
            "telephone_number": "212-685-4150",
            "fax_number": "212-213-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 5TH AVE",
            "address_2": "SUITE 703B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165010",
            "telephone_number": "212-685-4150",
            "fax_number": "212-213-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMOT",
        "first_name": "SUSAN",
        "middle_name": "MEROY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Mammone
• Anzhella Mamonov, R.N
• Sadaaf Nabeel Mamoon, MHC-LP
• Jenna Mamorsky
• Marta M Mamos, PT
• Mara D. Mamroud, M.S., CCC-SLP
• Anita Mamtani, M.D.
• Hafsa Mamun
• Rusudan Mamutchadze, M.D.
• Man S. Kim Physical Therapy P.C.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.