Nanik R Manchandani, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

051039 Issued in CT

Practice address

2457 E Main St Unit 105
Waterbury, CT 06705-2685

Phone

(347) 475-2801

NPI assigned

Aug 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

General Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JADECA/Endpoint/JADECA
• FHIR API: https://fhir4.healow.com/fhir/r4/EDBECD/Endpoint/EDBECD

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.

• Mercy Healthcare PLLC

  • General Practice Physician
  • Waterbury, CT
  • NPI 1619551637
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969
  Care Compare affiliation

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1013164854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CONEY ISLAND AVE APT 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301400",
            "telephone_number": "347-475-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 E MAIN ST UNIT 105",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052685",
            "telephone_number": "347-475-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHANDANI",
        "first_name": "NANIK",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-23",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "28927",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "051039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013164854",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C Malinics, D.O.
• Bettina Mallardi
• Angelina Malone
• Lindsey Maloney, DNP, APRN
• Nikoloz Mamulashvili
• Ann Marie Mancini, D.M.D.
• Meadow Michele Mancini
• Sandy Lee Mancini, LCSW
• Michael Anthony Mandino Jr., D.D.S.
• Neeraj Mangla, M.D.

• General Practice Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.