PANKAJ K MAMTORA MD
NPI 1467534842
Internal Medicine in Ridgewood, NY

Q: What is Pankaj Mamtora's NPI number?

The NPI number for Pankaj Mamtora is 1467534842. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Pankaj Mamtora's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Pankaj Mamtora was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 19, 2006PECOS Enrolled

5629 METROPOLITAN AVE, RIDGEWOOD, NY 11385(718) 418-0300(718) 418-0301 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pankaj K Mamtora Md NPPES

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

PANKAJ K MAMTORA MD (NPI 1467534842) is an individual internal medicine provider in Ridgewood, New York, licensed in New York (183635) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Glen Oaks.

NPPES Registry Identity

NPI1467534842

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePANKAJ K MAMTORACredential: MD

Location Address5629 METROPOLITAN AVERidgewood, NY 11385-1975

Mailing Address5629 Metropolitan AveRidgewood, NY 11385-1975 · (718) 418-0300 · Fax (718) 418-0301

Phone(718) 418-0300

Fax(718) 418-0301

Sole ProprietorYes

Enumeration DateOctober 19, 2006

Last NPPES UpdateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1467534842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 183635

Definition

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.

5629 METROPOLITAN AVE, Ridgewood, NY 11385

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Secondary Practice Location 1

Location 126808 Union TpkeGlen Oaks, NY 11004-1351 · Phone (718) 418-0300

Other Identifiers 2

Medicaid01456968NY

Other29I692NY · Empire Bs Bc On Ny

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pankaj K Mamtora Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MK HEALTHCARE MEDICAL PC

Specialist