Manuel R Acevedo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

122168 Issued in NY

Practice address

619 W 145TH St
New York, NY 10031-5002

Phone

(212) 234-9100

Fax

(212) 740-5163

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194834226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315002",
            "telephone_number": "212-234-9100",
            "fax_number": "212-740-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315002",
            "telephone_number": "212-234-9100",
            "fax_number": "212-740-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "MANUEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "122168",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "122168",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "122168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00229823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose A Acevedo, MD
• Krislee Acevedo
• Krystal Patricia Acevedo
• Loreen Acevedo, OTR
• Mabel Acevedo, M.D.
• Marimar Acevedo, FNP
• Melissa Acevedo, LMHC
• Nancy Acevedo, OTR/L
• Neli Maria Acevedo, LCSW
• Peter Acevedo

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.