Organization Active NPI

Marc Manzione MD LLC

  • Orthopaedic Surgery Physician
  • Huntingdon Valley, PA
National Provider Identifier
1003345232
Registry record updated Jun 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARC MANZIONE MD LLC
Practice address
2600 Philmont Ave Ste 119
Huntingdon Valley, PA 19006-5307
Phone
(570) 366-5112
NPI assigned
Jun 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2017

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

Authorized official

Name
Marc Manzione, MDNPI 1215922828
Title
Owner
Phone
(570) 366-5112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2600 Philmont Ave Ste 119
Huntingdon Valley, PA 19006-5307

Mailing address

PO Box 349
Orwigsburg, PA 17961-0349
Phone (570) 366-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170719000173 PA Part B Supplier - Clinic/Group Practice 9739459199 Receives reassigned benefits from 1 practitioner
Practice locations: Huntingdon Valley, PA

National Provider Directory

National Provider Directory

Locations

2600 Philmont Ave
Ste 119
Huntingdon Vy, PA 19006
Phone (215) 938-1212

2600 Philmont Ave
Huntingdon Vy, PA 19006
Phone (215) 460-7300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497052800000",
    "number": "1003345232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179610349",
            "telephone_number": "570-366-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PHILMONT AVE STE 119",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065307",
            "telephone_number": "570-366-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC MANZIONE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-10",
        "last_updated": "2017-06-10",
        "status": "A",
        "authorized_official_last_name": "MANZIONE",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-366-5112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.