AUGUSTUS G MANTIA (NPI# 1588662829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588662829 |
| Entity Type | Individual |
| Full Name | AUGUSTUS G MANTIA |
| Credential | MD |
| Practice Address |
59 Southern Blvd Nesconset NY 11767-1090 |
| Practice Telephone | 6316591700 |
| Practice Fax Number | 6316591750 |
| Mailing Telephone | 6316591700 |
| Mailing Fax Number | 6316591750 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2015-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 124142 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 002785973 | 05 |
| Street Address |
59 SOUTHERN BLVD |
| City | NESCONSET |
| State | NY |
| Zip Code | 11767-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659677037 | Mount Sinai North Shore Medical Group | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2011-02-02 |
| 1962646091 | North Shore Medical Group of The Mount Sinai School of Medicine | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2009-04-20 |
| 1841436458 | Barbara Lynn Stumacher | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2009-01-02 |
| 1952547945 | David Henry Oustecky | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2008-12-23 |
| 1265616452 | Lori Weber | Nurse Practitioner | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2007-12-24 |
| 1669535845 | Harley J Cohen | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-12-18 |
| 1316957707 | Joanne M. Kechejian | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-08-08 |
| 1871520049 | Glenn Rosett | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-06-26 |
| 1184660003 | Marilena Mirica | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-06-20 |
| 1477598308 | Andrew Radzik | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183877 | Robert Walter Hickey | Pharmacist | 115 Sheppard Ln, Nesconset, NY 11767 | 2017-06-08 |
| 1730621517 | James Remien | Massage Therapist | 62 Lake Ave South, Suite C, Nesconset, NY 11767 | 2016-11-10 |
| 1063788578 | Stacy Lynne Heuschneider | Nurse Practitioner | 48 Locust Drive, Nesconset, NY 11767 | 2012-03-29 |
| 1538485511 | Christina Ferlise-clark | Social Worker | 206 Nichols Rd, Nesconset, NY 11767 | 2010-04-15 |
| 1982843017 | Sharon Frances Devivo | Registered Nurse | 45 Rockey Point Road, Middle Island, NY 11767 | 2009-02-12 |
| 1649429523 | Justin Tate | Occupational Therapist | 14 Suburban Lane, Nesconset, NY 11767 | 2008-09-16 |
| 1386801520 | Helene Ann Hopkins Farley | Registered Nurse | 65 Tiffany Way, Nesconset, NY 11767 | 2008-05-16 |
| 1992978456 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 200 A Gibbs Pond Rd, Nesconset, NY 11767 | 2008-04-07 |
| 1205019403 | Sherrie Glasser Physical Therapy/john Douglas Pta | Specialist | 5 Browns Rd, Nesconset, NY 11767 | 2007-12-11 |
| 1710109665 | Chiropractic Associates of Long Island PC | Chiropractor | 195 Smithtown Blvd, Ste 105, Nesconset, NY 11767 | 2007-05-02 |
| Find all providers in zip 11767 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184614596 | Richard N Sabinsky | Internal Medicine | 55 Southern Blvd, Nesconset, NY 11767-1043 | 2005-10-26 |
| 1841436458 | Barbara Lynn Stumacher | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2009-01-02 |
| 1659551653 | Sheeba Ayesha Khan | Internal Medicine | 276 Smithtown Blvd, Nesconset, NY 11767-2084 | 2007-11-07 |
| 1396968210 | Primary Medical Care of Suffolk County, P.C. | Internal Medicine | 55 Southern Blvd, Nesconset, NY 11767-1043 | 2007-04-10 |
| 1770623423 | Caring Medical, LLC | Internal Medicine | 276 Smithtown Blvd, Ste 1, Nesconset, NY 11767-2043 | 2007-02-08 |
| 1316957707 | Joanne M. Kechejian | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-08-08 |
| 1386676484 | Mohan Sharma | Internal Medicine | 276 Smithtown Blvd, Nesconset, NY 11767-2084 | 2006-07-07 |
| 1871520049 | Glenn Rosett | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-06-26 |
| 1184660003 | Marilena Mirica | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-06-20 |
| 1477598308 | Andrew Radzik | Internal Medicine | 59 Southern Blvd, Nesconset, NY 11767-1090 | 2006-06-17 |
| Find all providers in NESCONSET | ||||
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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.