Active NPI
Kartik M Mani, M.D., PH.D
- Radiation Oncology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 273671
- Practice address
- 101 Nicolls Rd # L3-049
Stony Brook, NY 11794-2401 - Phone
- (631) 444-7770
- NPI assigned
- Apr 2, 2012
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 273671 | NY | Primary |
Addresses
Primary practice location
101 Nicolls Rd # L3-049
Stony Brook, NY 11794-2401
Mailing address
101 Nicolls Rd # L3-049
Stony Brook, NY 11794-8328
Other practice location 1
111 E 210th St
Department of Radiation Oncology
Bronx, NY 10467-2401
Phone (718) 920-7750
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
- Radiation Oncology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-7028
Phone (631) 444-2200
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2200
Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273671 | NY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Stony Brook Radiation Oncology, University Faculty Practice Corporatio | Radiation Oncology | Current | Accepting new patients |
| Stony Brook Radiology, University Faculty Practice Corporation | Past | Accepting new patients |
Locations
740 County Road 39A
Southampton, NY 11968
Phone (631) 638-1000
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
101 Nicolls Rd
#L3049
Stony Brook, NY 11794
Phone (631) 444-7770
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kartik.mani@direct.stonybrookmedicine.edu
Organizations & group practices 3
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.
-
- Radiation Oncology Physician
- Stony Brook, NY
- NPI 1730126517
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Diagnostic Radiology Physician
- Stony Brook, NY
- NPI 1366497448
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144586397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS RD # L3-049",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD # L3-049",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117942401",
"telephone_number": "631-444-7770"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_2": "Department of Radiation Oncology",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-7750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANI",
"first_name": "KARTIK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D., PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "273671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- 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.
- 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.