KRISTEN DENISE MANTER (NPI# 1023084571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023084571 |
| Entity Type | Individual |
| Full Name | KRISTEN DENISE MANTER |
| Credential | MD |
| Practice Address |
9704 Sutphin Blvd Jamaica NY 11435-4721 |
| Mailing Address |
60 Madison Ave 5th Floor New York NY 10010-1600 |
| Practice Telephone | 7186577088 |
| Practice Fax Number | 7186577092 |
| Mailing Telephone | 2125452400 |
| Mailing Fax Number | 2124638411 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 228042 1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHPLUS | 204590101 | 01 | |
| FIDELIS | 40426028484 | 01 | |
| CAREPLUS | 112467268MA01 | 01 | |
| NY | 00357451 | 05 | |
| GHI | PPO5996243 | 01 | |
| OXFORD | P3614958 | 01 | |
| CENTERCARE CHP | PC4845 | 01 |
| Street Address |
9704 SUTPHIN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11435-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437019 | Joanne Schmidt | Nurse Practitioner | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2017-10-05 |
| 1659822963 | Community Healthcare Network Inc | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2016-10-21 |
| 1053769141 | Soney Tino Siriphone | Optometrist | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2016-05-30 |
| 1508222522 | Community Healthcare Network, Inc | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2016-01-06 |
| 1669845160 | Loveta Uche | Nurse Practitioner | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2015-11-05 |
| 1295104172 | Mavis Ren | Dietitian, Registered | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2015-09-21 |
| 1265825970 | Andrea Ciano | Family Medicine | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2015-03-05 |
| 1588056311 | Susann Cortes | Social Worker | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2015-03-03 |
| 1881097111 | Michelle Diaz | Social Worker | 9704 Sutphin Blvd, Jamaica, NY 11435 | 2014-10-01 |
| 1013325810 | Debra Goodman | Registered Nurse | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2014-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1871114892 | Alternative Care Occupational Therapy, PC | Occupational Therapist | 149-16 Jamaica Ave, Jamaica, NY 11435 | 2020-04-30 |
| 1831737311 | Aminat Adams | Registered Nurse | 10753 Remitown Street, Jamaica, NY 11435 | 2019-12-16 |
| 1376180349 | Isabella Herold | Dietitian, Registered | 97-04 Sutphin Boulevard, Jamaica, NY 11435 | 2019-12-09 |
| 1235774654 | Angela Rose Torriero | Occupational Therapist | 90-36 150th Street, Jamaica, Queens, NY 11435 | 2019-11-08 |
| 1396386009 | Alexandra Mikyung Kim | Registered Nurse | 90-27 Sutphin Boulevard, Jamaica, NY 11435 | 2019-10-03 |
| 1043782097 | Louis E Krigger | Counselor | Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 | 2018-12-31 |
| 1407326093 | Syretta Henry | Social Worker | 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 | 2018-11-27 |
| 1972083277 | Debra Witherspoon-benders | Licensed Vocational Nurse | Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 | 2018-08-16 |
| 1982182895 | Emmanuel Oszwa Odigie | Respite Care | 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 | 2018-08-02 |
| Find all providers in zip 11435 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061143 | Atm Gouse Mohiuddin | Family Medicine | 8900 170th St, Jamaica, NY 11432-5341 | 2020-07-28 |
| 1891254272 | Bari Medical Pllc | Family Medicine | 17016 84th Dr, Jamaica, NY 11432-2109 | 2019-03-15 |
| 1235657925 | Mythily Ramanathan | Family Medicine | 8715 165th St Apt 2d, Jamaica, NY 11432-3513 | 2017-09-02 |
| 1720513427 | St. Sebastian Medical PC | Family Medicine | 16836 Jamaica Ave, Jamaica, NY 11432-5216 | 2017-05-01 |
| 1104161827 | Citywide Medical Care, PC | Family Medicine | 15325 Hillside Ave, Jamaica, NY 11432-3331 | 2012-12-06 |
| 1891926853 | Naznin Khan | Family Medicine | 118-11 Guy R Brewer Blvd, Jamaica, NY 11434-4006 | 2009-08-07 |
| 1457548745 | Pancare Medical PC | Family Medicine | 15915 Hillside Ave, Jamaica, NY 11432-3935 | 2007-10-01 |
| 1023174596 | Patricia Wong Hermogenes | Family Medicine | 13701 83rd Ave, 1b, Jamaica, NY 11435-1562 | 2006-12-29 |
| 1033298906 | Sophia Streete Smalls | Family Medicine | 11513a Merrick Blvd, Jamaica, NY 11434-1851 | 2006-11-03 |
| 1922186782 | Kaniz Fatema Begum | Family Medicine | 137-50 Jamaica Ave, Jamaica, NY 11435-3610 | 2006-11-01 |
| Find all providers in JAMAICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.