Alexandra Frances Manetta

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F353659 Issued in NY

Practice address

73 Downes Ave
Staten Island, NY 10312-4025

Phone

(718) 517-0654

NPI assigned

Mar 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1003674128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 DOWNES AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124025",
            "telephone_number": "718-517-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 DOWNES AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124025",
            "telephone_number": "718-517-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANETTA",
        "first_name": "ALEXANDRA",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F353659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Mandell, D.D.S.
• Gurpreet Kaur Mander, OTR/L
• Anthony Stephen Mandracchia, DC
• Christina Mandry
• Bruno Manduca, M.D.
• Eric Manevich, LICENSED OPTICIAN
• Gabrielle Nicole Manfredi, OTR/L
• Ronald A. Manfredi, M.D.
• Sofia Manfredi
• Lisa Marie Mangabang

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.