Richard John Mancini, BC-HIS, ACA

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

352 Issued in CT

Practice address

240 N Main St
Manchester, CT 06042-2004

Phone

(860) 643-4413

Fax

(860) 643-4436

NPI assigned

Nov 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hearing Wellness Center of Connecticut, LLC

  • Durable Medical Equipment & Medical Supplies
  • Manchester, CT
  • NPI 1386769453
  NPD (past) Authorized official

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114439072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422004",
            "telephone_number": "860-643-4413",
            "fax_number": "860-643-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422004",
            "telephone_number": "860-643-4413",
            "fax_number": "860-643-4436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Silas Deane Hwy",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060672330",
            "country_code": "US",
            "telephone_number": "860-257-9993",
            "fax_number": "860-257-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "BC-HIS, ACA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": "352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386769453",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manchester Public Schools
• Manchester RX LLC
• Manchester RX LLC
• Manchester Smiles Family and Implant Dentistry LLC
• Manchester Spine Center, LLC
• Erica Mancino
• Jessie Sue Manfre
• Lon Philip Manfredi, M.D.
• Neha Mangla, DDS
• Elizabeth Ann Mannarino, LCSW

• Hearing Instrument Specialist in Manchester, CT
• Providers in Manchester, CT by specialty
• Hearing Instrument Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.