Doctor profile · Federal record
Dr. Pankaj Mamtora, MD
Internal Medicine Physician · Ridgewood, NY
- NPI 1467534842
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5629 Metropolitan Ave
Ridgewood, NY 113851975
(718) 418-0300
fax (718) 418-0301 - Additional location
-
26808 Union Tpke
Glen Oaks, NY 110041351
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- June 2, 2023
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- New York #183635
- Medicaid
- NY #01456968
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467534842. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$107
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 4 | $86.68 | |
| Bayer Healthcare Pharmaceuticals INC. | 1 | $20.76 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
58
Patients
0
Total drug cost
$668
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Rosuvastatin Calcium | Generic | 19 | 0 | $222 |
| Mirtazapine | Generic | 16 | 0 | $173 |
| Metoprolol Tartrate | Generic | 12 | 0 | $44 |
| Levothyroxine Sodium | Generic | 11 | 0 | $229 |
Frequently asked questions
What is Dr. Pankaj Mamtora's medical specialty?
Dr. Pankaj Mamtora practices Internal Medicine Physician in Ridgewood, NY.
Where does Dr. Pankaj Mamtora practice?
Dr. Pankaj Mamtora practices at 5629 Metropolitan Ave, Ridgewood, NY 113851975. Office phone: 7184180300.
What is Dr. Pankaj Mamtora's NPI?
Dr. Pankaj Mamtora's National Provider Identifier (NPI) is 1467534842, issued by NPPES.