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LUKE MAMMEN
NPI 1073194700
Student in an Organized Health Care Education/Training Program in Albany, NY

Active since April 15, 2021PECOS Enrolled
43 NEW SCOTLAND AVE APT 33, ALBANY, NY 12208(518) 262-3125 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luke Mammen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUKE MAMMEN (NPI 1073194700) is an individual student in an organized health care education/training program in Albany, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073194700
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUKE MAMMEN
Location Address43 NEW SCOTLAND AVE APT 33Albany, NY 12208-3412
Mailing Address124 Dana Ave Apt 33Albany, NY 12208-3859 · (314) 660-8161
Phone(518) 262-3125
Sole ProprietorNo
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1073194700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
43 NEW SCOTLAND AVE APT 33, Albany, NY 12208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Mammen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luke Mammen's NPI number?

The NPI number for Luke Mammen is 1073194700. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Luke Mammen located?

Luke Mammen practices at 43 New Scotland Ave Apt 33, Albany, NY 12208. The listed phone number is (518) 262-3125.

What is Luke Mammen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luke Mammen enrolled in Medicare?

Yes. Luke Mammen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luke Mammen was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.