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

Jessica Sara Miller Mantell, DO

Individual provider Pediatrics Physician · NPI 1689051401

Jessica Sara Miller Mantell, DO is a Pediatrics Physician in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 293180 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 293180 (NY)

Record details

NPI number1689051401
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 30, 2015
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

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