Active NPI
Joseph Frank Mamola
- Athletic Trainer
- Bronx, NY
National Provider Identifier
1861329773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 004749-01
- Practice address
- 4513 Manhattan College Pkwy
Bronx, NY 10471-4004 - Phone
- (718) 862-7226
- NPI assigned
- May 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 004749-01 | NY | Primary |
Addresses
Primary practice location
4513 Manhattan College Pkwy
Bronx, NY 10471-4004
Mailing address
323 W 75TH St
New York, NY 10023-1651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004749-01 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1861329773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 W 75TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100231651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 MANHATTAN COLLEGE PKWY",
"city": "BRONX",
"state": "NY",
"postal_code": "104714004",
"telephone_number": "718-862-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMOLA",
"first_name": "JOSEPH",
"middle_name": "FRANK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "004749-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.