Active NPI
David Daniel Manevitz, D.O.
- Physical Medicine & Rehabilitation Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 228763
- Practice address
- 70 Glen St
Suite380
Glen Cove, NY 11542-2855 - Phone
- (516) 759-2424
- Fax
- (516) 759-6627
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 228763 | NY | Primary |
Addresses
Primary practice location
70 Glen St
Suite380
Glen Cove, NY 11542-2855
Mailing address
67 Yale St
Roslyn Heights, NY 11577-2429
Phone (516) 801-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
174 Grand St
White Plains, NY 10601-4803
176 Grand St
White Plains, NY 10601-4803
Phone (914) 328-6080
340 S Broadway
Yonkers, NY 10705-2049
Phone (914) 968-5125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228763 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors United, Inc | Current | Accepting new patients |
Locations
174 Grand St
White Plains, NY 10601
Phone (718) 220-8293
176 Grand St
White Plains, NY 10601
Phone (914) 328-6080
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- Physical Medicine & Rehabilitation Physician
- East Meadow, NY
- NPI 1619405024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1053343020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 YALE ST",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772429",
"telephone_number": "516-801-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 GLEN ST",
"address_2": "SUITE380",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422855",
"telephone_number": "516-759-2424",
"fax_number": "516-759-6627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANEVITZ",
"first_name": "DAVID",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "228763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.