JYOTHI MAMMEN NP
NPI 1194298406
Nurse Practitioner - Family in Staten Island, NY

Q: What is Jyothi Mammen's NPI number?

The NPI number for Jyothi Mammen is 1194298406. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Q: What is Jyothi Mammen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jyothi Mammen was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 09, 2019

4143 RICHMOND AVE STE 1, STATEN ISLAND, NY 10312(718) 966-5556 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jyothi Mammen Np NPPES

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

JYOTHI MAMMEN NP (NPI 1194298406) is an individual family provider in Staten Island, New York, licensed in New York (343382) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1194298406

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJYOTHI MAMMENCredential: NP

Location Address4143 RICHMOND AVE STE 1Staten Island, NY 10312-5637

Mailing Address682 Forest AveStaten Island, NY 10310-2507 · (718) 370-3730 · Fax (718) 698-9412

Phone(718) 966-5556

Sole ProprietorYes

Enumeration DateJanuary 9, 2019

✔ NPI 1194298406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 343382

4143 RICHMOND AVE STE 1, Staten Island, NY 10312

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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 Jyothi Mammen's NPI number?

The NPI number for Jyothi Mammen is 1194298406. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Where is Jyothi Mammen located?

Jyothi Mammen practices at 4143 Richmond Ave Ste 1, Staten Island, NY 10312. The listed phone number is (718) 966-5556.

What is Jyothi Mammen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jyothi Mammen was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.