Active NPI
Thomas Francis Mannino, MD
- Diagnostic Radiology Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 203089
- Practice address
- 101 Saint Andrews LN
Glen Cove, NY 11542-2254 - Phone
- (516) 674-7540
- Fax
- (516) 674-7546
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 203089 | NY | Primary |
Addresses
Primary practice location
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Mailing address
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (516) 674-7540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01709439 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of New York at Stony Brook, School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3722 82ND St
Jackson Heights, NY 11372-7040
Phone (718) 879-1600
575 Fern St
West Palm Beach, FL 33401-5725
Phone (561) 268-2000
Hospital & facility affiliations
- Mount Sinai Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203089 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Diagnostic Radiology | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| North Shore Radiology at Glen Cove PC | Past | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| St Catherine of Siena Medical Center | Past | Accepting new patients | |
| Radiology Consulting of Long Island PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
600 University Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 627-2210
575 Fern St
West Palm Beach, FL 33401
Phone (561) 268-2000
5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000
1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200
120 New York Ave
Huntington, NY 11743
Phone (631) 351-3766
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600
3722 82nd St
Jackson Hts, NY 11372
Phone (718) 779-1600
1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000
1468 Madison Ave
#175
New York, NY 10029
Phone (212) 241-8333
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806
116 Fifth Ave
Pelham, NY 10803
Phone (914) 738-0005
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309
2020 Wantagh Ave
Wantagh, NY 11793
Phone (516) 248-2422
1086 N Broadway
Yonkers, NY 10701
Phone (914) 771-9666
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Diagnostic Radiology
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1356722425
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Anesthesiology Physician
- New York, NY
- NPI 1710324041
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
-
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
-
- Emergency Medicine Physician
- New York, NY
- NPI 1891757340
-
- Body Imaging Physician
- Glen Cove, NY
- NPI 1003024662
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1568402410
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1245318609
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104894831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SAINT ANDREWS LN",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422254",
"telephone_number": "516-674-7540",
"fax_number": "516-674-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SAINT ANDREWS LN",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422254",
"telephone_number": "516-674-7540",
"fax_number": "516-674-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNINO",
"first_name": "THOMAS",
"middle_name": "FRANCIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "203089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01709439",
"state": "NY"
}
],
"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 8, 2007; 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.