MINI SUSAN MAMMEN
NPI 1780241398
Nurse Practitioner - Family in Great Neck, NY

Q: What is Mini Mammen's NPI number?

The NPI number for Mini Mammen is 1780241398. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Q: What is Mini 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 Mini Mammen was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 20, 2019PECOS Enrolled

310 E SHORE RD, GREAT NECK, NY 11023(516) 482-8657 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2019, May 20, 2019 (2 updates tracked since 2019).

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About Mini Susan Mammen NPPES

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

MINI SUSAN MAMMEN (NPI 1780241398) is an individual family provider in Great Neck, New York, licensed in New York (F344251) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780241398

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMINI SUSAN MAMMEN

Location Address310 E SHORE RDGreat Neck, NY 11023-2410

Mailing Address475 Beech StNew Hyde Park, NY 11040-3825 · (718) 598-0529

Phone(516) 482-8657

Sole ProprietorNo

Enumeration DateMay 20, 2019

Last NPPES UpdateNovember 11, 20192 updates tracked since enumeration

✔ NPI 1780241398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · F344251

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License F344251 (NY)

310 E SHORE RD, Great Neck, NY 11023

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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)

Mini Susan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11023 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.

Other Providers at the Same Location NPPES 20

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

SEYMOUR H. BLOCK D.O.

Psychiatry & Neurology (Psychiatry)

310 E SHORE RD, SUITE #201
GREAT NECK, NY 11023

Nassau County (516) 829-8067

DR. MICHAEL JOEL GOLDSTEIN M.D.

Internal Medicine (Gastroenterology)

310 E SHORE RD, 206
GREAT NECK, NY 11023

Nassau County (516) 487-7677

DR. ALLEN LAWRENCE FINKELSTEIN DDS

Dentist

310 E SHORE RD
GREAT NECK, NY 11023

Nassau County (516) 282-0310

JOEL GOLDBERG MD PC

Internal Medicine (Cardiovascular Disease)

310 E SHORE RD, SUITE 104
GREAT NECK, NY 11023

Nassau County (516) 829-9550

PSYCHOLOGY CARE PC

Psychologist (Clinical)

310 E SHORE RD
GREAT NECK, NY 11023

Nassau County (516) 466-7077

DIMITRA THEODOROPOULOS M.D., FACS

Surgery

310 E SHORE RD, SUITE 203
GREAT NECK, NY 11023

Nassau County (516) 482-8657

DR. EVAN MINTZ MD

Internal Medicine (Cardiovascular Disease)

310 E SHORE RD, SUITE 104
GREAT NECK, NY 11023

Nassau County (516) 829-9550

DR. JONATHAN MICHAEL RICHTER D.D.S.

Dentist

310 E SHORE RD, SUITE 101
GREAT NECK, NY 11023

Nassau County (516) 282-0310

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 Mini Mammen's NPI number?

The NPI number for Mini Mammen is 1780241398. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Mini Mammen located?

Mini Mammen practices at 310 E Shore Rd, Great Neck, NY 11023. The listed phone number is (516) 482-8657.

What is Mini Mammen's specialty?

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

Is Mini Mammen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mini Mammen was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.