Individual provider Active NPI

David Daniel Manevitz, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Glen Cove, NY
National Provider Identifier
1053343020
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
228763 Issued in NY
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070619000583 NY Practitioner - Physical Medicine and Rehabilitation 5799884573 Reassigns benefits to 2 organizations

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
Doctors United, IncGroup PAC ID 1153212162, 25 clinicians

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

LicenseStateTypeSpecialty
228763NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors United, Inc CurrentSince Mar 10, 2024 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.

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

Verify at the official NPI Registry.