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

NPI Status: Active since May 20, 2019

Contact Information

310 E SHORE RD
GREAT NECK, NY
ZIP 11023
Phone: (516) 482-8657

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About MINI MAMMEN

This page provides the complete NPI Profile along with additional information for Mini Mammen, a provider established in Great Neck, New York with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1780241398 assigned on May 2019. The practitioner's primary taxonomy code is 363LF0000X with license number F344251 (NY). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1780241398
Provider Name
MINI SUSAN MAMMEN
Gender
Female
Entity Type
Individual
Location Address
310 E SHORE RD GREAT NECK, NY 11023
Location Phone
(516) 482-8657
Mailing Address
475 BEECH ST NEW HYDE PARK, NY 11040
Mailing Phone
(718) 598-0529
Is Sole Proprietor?
No
Enumeration Date
05-20-2019
Last Update Date
11-11-2019
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A nurse practitioner (NP) like Mini Mammen is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
F344251
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1364SF0001XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist
Family Health

F344251 (NY)

Medicare Participation & PECOS Enrollment Status

Mini Mammen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11023 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $105.06
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $26.26
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $117.62
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $29.4
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MINI SUSAN MAMMEN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780241398
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160442318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 4 + 4 + 2 + 3 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1780241398 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366440067DR. ROBERT DON HERMAN
Individual
Internal Medicine (Gastroenterology)310 E SHORE RD 206
GREAT NECK, NY 11023
(516) 487-7677
1396742201DR. GINA SUE KWAK M.D.
Individual
Internal Medicine (Gastroenterology)310 E SHORE RD 206
GREAT NECK, NY 11023
(516) 487-7677
1871591560DR. STEPHEN ROBERT SIEGEL M.D.
Individual
Internal Medicine (Gastroenterology)310 E SHORE RD 206
GREAT NECK, NY 11023
(516) 487-7677
1063410645DR. MICHAEL JOEL GOLDSTEIN M.D.
Individual
Internal Medicine (Gastroenterology)310 E SHORE RD 206
GREAT NECK, NY 11023
(516) 487-7677
1376589655DR. JOEL GOLDBERG MD
Individual
Internal Medicine (Cardiovascular Disease)310 E SHORE RD SUITE 104
GREAT NECK, NY 11023
(516) 829-9550
1295750230 KENNETH J ROSENTHAL MD
Individual
Ophthalmology310 E SHORE RD SUITE 102
GREAT NECK, NY 11023
(516) 466-8989
1124120498 DIMITRA THEODOROPOULOS M.D., FACS
Individual
Surgery310 E SHORE RD SUITE 203
GREAT NECK, NY 11023
(516) 482-8657
1407940687DR. NANCY SUE WOLFIN M.D.
Individual
Dermatology (Procedural Dermatology)310 E SHORE RD 204
GREAT NECK, NY 11023
(516) 829-4464
1225123540DR. JOSE LUIS SELIGSON M.D.
Individual
Psychiatry & Neurology (Psychiatry)310 E SHORE RD SUITE 301
GREAT NECK, NY 11023
(516) 482-1541
1023162773 SEYMOUR H. BLOCK D.O.
Individual
Psychiatry & Neurology (Psychiatry)310 E SHORE RD SUITE #201
GREAT NECK, NY 11023
(516) 829-8067
1639298599DR. HOWARD M ROMBOM PHD
Individual
Psychologist310 E SHORE RD SUITE 100
GREAT NECK, NY 11023
(516) 466-7077
1588787717DR. DAVID ZARABI D.D.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)310 E SHORE RD SUITE 101
GREAT NECK, NY 11023
(516) 487-3787
1861647042KENNETH J ROSENTHAL MD PC
Organization
Specialist310 E SHORE RD SUITE 102
GREAT NECK, NY 11023
(516) 466-8989
1730316167DR. SUSAN JACOBSON
Individual
Psychologist (Clinical Child & Adolescent)310 E SHORE RD SUITE 301
GREAT NECK, NY 11023
(516) 661-6666
1356662399DR. MICHELLE KLEIN D.C., C.N.S.
Individual
Chiropractor (Nutrition)310 E SHORE RD SUITE 305
GREAT NECK, NY 11023
(516) 466-1045
1629383476DR. DAVID RHEE DDS
Individual
Dentist310 E SHORE RD SUITE 101
GREAT NECK, NY 11023
(516) 282-0310
1083922249DR. ALLEN LAWRENCE FINKELSTEIN DDS
Individual
Dentist310 E SHORE RD
GREAT NECK, NY 11023
(516) 282-0310
1821368689DR. KARISSA LYNN MAGGIO DC
Individual
Chiropractor310 E SHORE RD
GREAT NECK, NY 11023
(646) 937-1554
1972875946ALLAN I. STEMPLER, M.D., P.C.
Organization
Clinic/Center (Adult Mental Health)310 E SHORE RD SUITE 301
GREAT NECK, NY 11023
(516) 829-6641
1427178318MS. ROSEMARIE HAASE FNP
Individual
Nurse Practitioner (Family)310 E SHORE RD SUITE 203
GREAT NECK, NY 11023
(516) 482-8657

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780241398, enumerated in the NPI registry as an "individual" on May 20, 2019

The provider is located at 310 E Shore Rd Great Neck, Ny 11023 and the phone number is (516) 482-8657

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $117.62 and an average copayment of 29.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 20, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.