Glenn Mancher, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011955 Issued in NY

Practice address

2501 86TH St
Brooklyn, NY 11214-4414

Phone

(718) 333-2500

Fax

(718) 333-2835

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jal 28 LLC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1063278281
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1003020033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144414",
            "telephone_number": "718-333-2500",
            "fax_number": "718-333-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144414",
            "telephone_number": "718-333-2500",
            "fax_number": "718-333-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHER",
        "first_name": "GLENN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "011955",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyubov Manashirova
• Manatt Associates, LLC
• Diana Mancebo
• Oshadhi Nivarthana Manchanayake, MD
• Ram Chand Manchandani, M.D.
• Cameron Manchester, MD
• Devasena Manchikalapati, MD
• Nikhila Manchikanti, NP
• Lee Manchio, DO
• Olivia E. Mancilla, P.A.

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.