Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Manoj Jacob Mammen, MD

Individual provider Internal Medicine Physician · NPI 1770778045

Dr. Manoj Jacob Mammen, MD is a Pulmonary Disease in Rochester, New York. Graduated from Rutgers New Jersey Medical School in 2004, 22 years ago. Practices with Mary M Parkes Asthma and Pulmonary, a 36-clinician group and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
22
Trained at
Rutgers New Jersey Medical School
Licensed in
NY, TX
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-4161
Fax: (585) 273-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 257591 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence M6273 (TX)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 257591 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 257591 (NY)

Record details

NPI number1770778045
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 10, 2007
Last updated in NPPESJuly 17, 2023
Certification dateMarch 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Mary M Parkes Asthma And Pulmonary — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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