Individual provider Active NPI

Christopher Joseph Mancuso, DO, MHS

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1154886703
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
306169 Issued in NY
Practice address
7901 4TH Ave Ste A20
Brooklyn, NY 11209-3957
Phone
(561) 716-2633
NPI assigned
Feb 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 306169 NY Primary
Dermatology Physician 207N00000X OS20220 FL

Addresses

Primary practice location

7901 4TH Ave Ste A20
Brooklyn, NY 11209-3957

Mailing address

7901 4TH Ave Ste A20
Brooklyn, NY 11209-3957
Phone (561) 716-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230821001988 NY Practitioner - Dermatology 8527420728 Reassigns benefits to 1 organization
I20240614003853 FL Practitioner - Dermatology 8527420728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Nova Southeastern College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siny Dermatology FloridaGroup PAC ID 1153762216, 2 clinicians

Practice addresses (Care Compare)

15071 S State Rd
7 Suite 300
Delray Beach, FL 33446-4107
Phone (718) 491-5800

Merit-based Incentive Payment System (MIPS)

Final score
85.97 of 100Reported as group
Quality
87.04
Promoting interoperability
77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions224
Removal or shaving of skin growth1-10
Skin biopsy38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS20220FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald R Brancaccio MD & Peter Saitta DO PC Dermatology CurrentSince Jul 1, 2023 Accepting new patients
Saitta Dermatology PC Dermatology CurrentSince Jul 1, 2023 Accepting new patients
Siny Dermatology Florida Dermatology CurrentSince Mar 29, 2024 Accepting new patients
Live Beyond Medical MGMT LLC PastSince Mar 21, 2021 Accepting new patients

Locations

15071 S State Road 7
Ste 300
Delray Beach, FL 33446
Phone (561) 264-3286

7901 4th Ave
Ste A20
Brooklyn, NY 11209
Phone (718) 491-6900

10933 71st Rd
Ste 1F
Forest Hills, NY 11375
Phone (718) 575-2930

Organizations & group practices 4

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1154886703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH AVE STE A20",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093957",
            "telephone_number": "561-716-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH AVE STE A20",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093957",
            "telephone_number": "561-716-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO, MHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "306169",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS20220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.