Active NPIIndividual providerSole proprietor

Dr. Irene Mamkin, MD

Pediatrics, Pediatric Endocrinology in West Orange, New Jersey

NPI Number1326210485
Practice location
375 Mount Pleasant Ave, West Orange, NJ 07052-2724
Fax
973-322-6999
Last updated
February 3, 2014

Irene Mamkin is a Pediatrics, Pediatric Endocrinology based in West Orange, NJ. Irene Mamkin practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Irene Mamkin is 1326210485 and holds a License No. 250979 (NY). The current practice location address for Irene Mamkin is 375 Mount Pleasant Ave, West Orange, NJ 07052-2724 and can be reached out via phone at 973-322-6900 and via fax at 973-322-6999.

Provider Profile Details

NPI Number
1326210485
Provider Name
Irene Mamkin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
375 Mount Pleasant Ave, West Orange, NJ 07052-2724
Phone Number
973-322-6900
Fax Number
973-322-6999
Primary Taxonomy
Pediatrics, Pediatric Endocrinology · 2080P0205X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2008
Last Update Date
February 3, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Mount Pleasant Ave
West Orange, NJ 07052-2724
Zip
07052-2724
Phone Number
973-322-6900
Fax Number
973-322-6999
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
375 Mount Pleasant Ave
West Orange, NJ 07052-2724
City
West Orange
State
NJ
Zip
07052-2724
Phone Number
973-322-6900
Fax Number
973-322-6999

License Information

License Number (1)
250979
License State (1)
NY
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
250979
License State (2)
NY
Taxonomy (2)
Pediatrics, Pediatric Endocrinology · 2080P0205X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Irene Mamkin, MD?

The NPI number of Dr. Irene Mamkin, MD is 1326210485. It was assigned on March 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Irene Mamkin, MD?

Dr. Irene Mamkin, MD is registered under the primary taxonomy Pediatrics, Pediatric Endocrinology (code 2080P0205X), licensed in NY under license number 250979.

Where does Dr. Irene Mamkin, MD practice?

The practice location is 375 Mount Pleasant Ave, West Orange, NJ 07052-2724. The office can be reached at 973-322-6900 (phone) or 973-322-6999 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326210485 directly on the NPPES registry website.

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