MS. LISA JEAN MAMAKOS M.D.
NPI 1619265584
Family Medicine - Geriatric Medicine in Westhampton Beach, NY

Q: What is Lisa Mamakos's NPI number?

The NPI number for Lisa Mamakos is 1619265584. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Q: What is Lisa Mamakos's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mamakos was last updated on September 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2011PECOS Enrolled

147 BEACH RD STE A, WESTHAMPTON BEACH, NY 11978(631) 288-7746(631) 288-7111 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Lisa Jean Mamakos M.d. NPPES

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

MS. LISA JEAN MAMAKOS M.D. (NPI 1619265584) is an individual geriatric medicine provider in Westhampton Beach, New York, licensed in New York (282828) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Westerville, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619265584

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameMS. LISA JEAN MAMAKOSCredential: M.D.

Location Address147 BEACH RD STE AWesthampton Beach, NY 11978

Mailing Address147 Beach Rd Ste AWesthampton Beach, NY 11978-1733 · (631) 288-7746 · Fax (631) 288-7111

Phone(631) 288-7746

Fax(631) 288-7111

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 13, 2011

Last NPPES UpdateSeptember 10, 2018

✔ NPI 1619265584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in NY · 282828

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

147 BEACH RD STE A, Westhampton Beach, NY 11978

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Secondary Practice Location 1

Location 1477 Cooper Road, Suite 300Westerville, OH 43081 · Phone (614) 898-8714 · Fax (614) 898-8842

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa Jean Mamakos M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567761182

PECOS Enrollment IDI20180726000803

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 11978 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.