Individual provider Active NPI

James D Manthos, DC

  • Chiropractor
  • East Rockaway, NY
National Provider Identifier
1154470391
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009549-1 Issued in NY
Practice address
21 Ryder PL Ste 1000
East Rockaway, NY 11518-1200
Phone
(516) 399-2225
Fax
(516) 399-2227
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 009549-1 NY Primary

Addresses

Primary practice location

21 Ryder PL Ste 1000
East Rockaway, NY 11518-1200

Mailing address

21 Ryder PL Ste 1000
East Rockaway, NY 11518-1200
Phone (516) 375-2399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009549-1NYMDChiropractor
009549NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R.G. Medical, PC PastSince Dec 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1154470391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RYDER PL STE 1000",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181200",
            "telephone_number": "516-375-2399",
            "fax_number": "516-399-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RYDER PL STE 1000",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181200",
            "telephone_number": "516-399-2225",
            "fax_number": "516-399-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHOS",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009549-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.