Ravinder Mamtani, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

172363 Issued in NY

Practice address

19 Creekside Rd
Hopewell Junction, NY 12533-6047

Phone

(845) 227-6054

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1952477259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CREEKSIDE RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336047",
            "telephone_number": "845-227-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CREEKSIDE RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336047",
            "telephone_number": "845-227-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMTANI",
        "first_name": "RAVINDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "172363",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "172363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn A Lindsay, LCSW-R
• Maria Lindstrom
• Deborah L Locicero, LCSW-R
• Ines Mercedes London, M.S
• Raymond Malgioglio, PHARMD, RPH
• Stephanie Marie Mangano
• Nicole C. Marin, M.S., CCC-SLP
• Mark Martell
• Deanna M Martinelli
• Teresa Martino

• Preventive Medicine/Occupational Environmental Medicine Physician in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.