Organization Active NPI

Manhattan Internal Medicine PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1154645158
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207109 Issued in NY
Legal business name
MANHATTAN INTERNAL MEDICINE PLLC
Practice address
108 E 96TH St
New York, NY 10128-6217
Phone
(212) 410-6610
Fax
(212) 348-0749
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Paul Knoepflmacher, M.D.NPI 1144291972
Title
Owner
Phone
(212) 410-6610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 207109 NY Primary

Addresses

Primary practice location

108 E 96TH St
New York, NY 10128-6217

Mailing address

108 E 96TH St
New York, NY 10128-6217
Phone (212) 410-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100609000486 NY Part B Supplier - Clinic/Group Practice 6709916265 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

100 5th Ave
New York, NY 10011
Phone (516) 555-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1154645158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286217",
            "telephone_number": "212-410-6610",
            "fax_number": "212-348-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286217",
            "telephone_number": "212-410-6610",
            "fax_number": "212-348-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "KNOEPFLMACHER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-410-6610",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.