Antoine Mansourati, MD is a
Student In An Organized Health Care Education/training Program physician based in Paterson, New Jersey. Antoine Mansourati is licensed to practice in * (Not Available) (license number 25MA12264800) and his current practice location is 703 Main St, Paterson, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 754-2000.
NPI number for Antoine Mansourati is 1003493719 and his current mailing address is 703 Main St, Paterson, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003493719.
Physician's Profile
| Full Name | Antoine Mansourati |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 703 Main St, Paterson, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003493719
- Provider Enumeration Date: 03/27/2021
- Last Update Date: 09/17/2025
Medical Identifiers
Medical identifiers for Antoine Mansourati such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003493719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 82949 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 25MA12264800 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antoine Mansourati is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Antoine Mansourati, MD
703 Main St,
Paterson, NJ 07503-2621
Ph: (973) 754-2000 | Antoine Mansourati, MD
703 Main St,
Paterson, NJ 07503-2621
Ph: (973) 754-2000 |
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