Managed Physical Network Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MANAGED PHYSICAL NETWORK INC

Practice address

505 Boices LN
Kingston, NY 12401-1083

Phone

(845) 382-1870

Fax

(845) 382-1341

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

John Desmet

Title

Coo

Phone

(763) 797-4821

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1013068402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8200",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124028200",
            "telephone_number": "845-382-1870",
            "fax_number": "845-382-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BOICES LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011083",
            "telephone_number": "845-382-1870",
            "fax_number": "845-382-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED PHYSICAL NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "DESMET",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "763-797-4821"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona V Malamen, L.M.T.
• Andrew Malek, MD
• Ryan Marie Mallory
• Megan Maloney, M.S. CCC-SLP
• Sarah Mambondiumwe, LPN
• Rosemary Anne Mancuso, MS; R.D.; CDN; CDE
• Linda Mandano, LCSW
• Joel Mandelbaum, MD
• Lauren Manley, LMSW
• Deborah Mannello, MS CCC SLP

• Case Management Agency in Kingston, NY
• Providers in Kingston, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.