Individual provider Active NPI

Mark Eric Manstein, MD

  • Plastic and Reconstructive Surgery Physician
  • Huntingdon Valley, PA
National Provider Identifier
1033168729
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD022257E Issued in PA
Practice address
821 Huntingdon Pike
Suite 120
Huntingdon Valley, PA 19006-8365
Phone
(215) 379-5700
Fax
(215) 379-2520
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD022257E PA Primary

Addresses

Primary practice location

821 Huntingdon Pike
Suite 120
Huntingdon Valley, PA 19006-8365

Mailing address

821 Huntingdon Pike
Suite 120
Huntingdon Valley, PA 19006-8365
Phone (215) 379-5700

Other identifiers 3

IdentifierTypeStateIssuer
005249000OtherPAKEYSTONE
50443OtherPAAETNA
1027199MedicaidPA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20081208000289 PA Practitioner - Plastic and Reconstructive Surgery 8921169095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical College of Pennsylvania, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

821 Huntingdon Pike
Suite 120
Huntingdon Valley, PA 19006-8365
Phone (215) 379-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision156
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022257EPAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manstein Surgical Assoc Plastic and Reconstructive Surgery CurrentSince Dec 30, 1985 Accepting new patients

Locations

821 Huntingdon Pike
Ste 120
Huntingdon Vy, PA 19006
Phone (215) 379-5700

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1033168729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 HUNTINGDON PIKE",
            "address_2": "SUITE 120",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068365",
            "telephone_number": "215-379-5700",
            "fax_number": "215-379-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 HUNTINGDON PIKE",
            "address_2": "SUITE 120",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068365",
            "telephone_number": "215-379-5700",
            "fax_number": "215-379-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSTEIN",
        "first_name": "MARK",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD022257E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "005249000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "50443",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027199",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.