John Mancuso DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

JOHN MANCUSO DPM PC

Practice address

133 E 54TH St RM 2E
New York, NY 10022-4538

Phone

(718) 388-1600

Fax

(718) 388-1551

NPI assigned

Jul 25, 2007

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Hynes

Title

Collections

Phone

(718) 388-1600

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1225228430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 54TH ST RM 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224538",
            "telephone_number": "718-388-1600",
            "fax_number": "718-388-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 54TH ST RM 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224538",
            "telephone_number": "718-388-1600",
            "fax_number": "718-388-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MANCUSO DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "HYNES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "COLLECTIONS",
        "authorized_official_telephone_number": "718-388-1600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P34331",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NS782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.