Individual provider Active NPI

Roberto F Mancuso, M.D./M.P.H

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1003109208
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
278727 Issued in NY
Practice address
16 Park PL
New York, NY 10007-2504
Phone
(212) 457-0878
NPI assigned
May 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 278727 NY Primary

Addresses

Primary practice location

16 Park PL
New York, NY 10007-2504

Mailing address

75 82ND St
Brooklyn, NY 11209-4201
Phone (917) 299-5512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150916001711 NJ Practitioner - Physical Medicine and Rehabilitation 8628385143 Reassigns benefits to 2 organizations
I20161012001288 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 8628385143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Park PL
New York, NY 10007-2504
Phone (212) 457-0878

7518 3Rd Ave
Brooklyn, NY 11209-3104
Phone (212) 457-0878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Rehabilitation Consultants, LLC Physical Medicine & Rehabilitation CurrentSince Sep 15, 2015 Accepting new patients
Highline Orthopaedics CurrentSince Jul 23, 2016 Accepting new patients
Robert F. Mancuso MD PLLC Current Accepting new patients
Highline Orthopaedics Physical Medicine & Rehabilitation CurrentSince Jul 23, 2016 Accepting new patients
Spear Physical and Occupational Therapy, LLC PastSince Aug 8, 2025 Accepting new patients

Locations

2 Centre Plz
#F
Tinton Falls, NJ 07724
Phone (732) 460-5360

2 Centre Plz
Tinton Falls, NJ 07724
Phone (732) 460-5320

1250 Waters Pl
Ste 903
Bronx, NY 10461
Phone (718) 450-9955

7518 3rd Ave
Ste B
Brooklyn, NY 11209

7518 3rd Ave
Brooklyn, NY 11209
Phone (212) 457-0878

16 Park Pl
New York, NY 10007
Phone (212) 457-0878

Interoperability endpoints

  • Direct secure messaging: rmancuso64082@northwell.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/16286/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robert.mancuso.1@16286.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1003109208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094201",
            "telephone_number": "917-299-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PARK PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072504",
            "telephone_number": "212-457-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "ROBERTO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D./M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "278727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.