Jacqueline Manning

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

560872 Issued in NY

Practice address

2223 Edgemere Ave
Far Rockaway, NY 11691-2715

Phone

(718) 868-0351

NPI assigned

Apr 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1164748760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901505",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116901505",
            "telephone_number": "718-868-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 EDGEMERE AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912715",
            "telephone_number": "718-868-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "560872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shira Mandel, MSED
• Swarna Mani, MD
• Mayuri Vikas Mankar
• Jennifer Mann, LMSW
• Melech David Mann, MSW LISW EMDR
• Ranelyn Manoto, RPT
• Viktoriya Mantulina, OTR/L
• Dana Manza
• Christiano Marcel Marcello, PEER SPECIALIST
• Adlin Marcera

• Registered Nurse in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.