Mane Theory Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MANE THEORY INC.

Practice address

2104 Cross Bronx Expy Apt 4C
Bronx, NY 10472-5245

Phone

(347) 573-1617

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Leata A WilliamsNPI 1588281273

Title

Owner

Phone

(347) 573-1617

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Leata A Williams

  • Prosthetist
  • New York, NY
  • NPI 1588281273
  NPD Authorized official

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1164044699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 WEST AVE STE 7018",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627304",
            "telephone_number": "347-573-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 CROSS BRONX EXPY APT 4C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104725245",
            "telephone_number": "347-573-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANE THEORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LEATA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-573-1617"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Tienna Mandez, LMSW
• Adel Mandl, M.D., PH.D.
• Victor I Mandon, MD
• Nicole Mandras
• Cosman Camilo Mandujano Bejarano
• Angela Gigliotti Manessis, MSED
• Aspasia Manettas
• Nnana Mang, M.D.
• Manga Transportation Corp
• Fatoumata Mangara Diaby, LMSW

• Prosthetic/Orthotic Supplier in Bronx, NY
• Providers in Bronx, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.