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

Michael T. Mantello

Individual provider Diagnostic Radiology Physician · NPI 1457338899

Michael T. Mantello is a Diagnostic Radiology in Staten Island, New York. Graduated from Georgetown University School of Medicine in 1985, 41 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
41
Trained at
Georgetown University School of Medicine
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

360 Bard Ave
Staten Island, NY 10310-1666
Phone: (718) 876-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 189156 (NY)

Record details

NPI number1457338899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Staten Island