Active NPI
Highline Orthopaedics
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 278727
- Legal business name
- HIGHLINE ORTHOPAEDICS
- Practice address
- 16 Park Place
New York, NY 10007 - Phone
- (212) 457-0878
- Fax
- (212) 457-0878
- NPI assigned
- May 13, 2016
- Last updated
- Mar 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto Mancuso, MD
- Title
- Owner
- Phone
- (212) 457-0878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014633 | NY | |
| Medical Physician Assistant | 363AM0700X | 014633 | NY | |
| Surgical Physician Assistant | 363AS0400X | 014633 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 284074 | NY | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 211177 | NY | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 284074 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 278727 | NY | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 278727 | NY | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 278727 | NY |
Addresses
Primary practice location
16 Park Place
New York, NY 10007
Mailing address
16 Park Place
New York, NY 10007
Phone (212) 235-1692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1780408047
O20151210000174
National Provider Directory
National Provider Directory- Tax ID family
- Highline Orthopaedics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1780408047
Locations
16 Park Pl
New York, NY 10007
Phone (212) 457-0878
Interoperability endpoints
- https://api.platform.athenahealth.com/16286/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1003109208
-
- Physician Assistant
- New York, NY
- NPI 1992003057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741219200000",
"number": "1255787743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PARK PLACE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10007",
"telephone_number": "212-235-1692",
"fax_number": "212-235-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PARK PLACE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10007",
"telephone_number": "212-457-0878",
"fax_number": "212-457-0878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLINE ORTHOPAEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-13",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A",
"authorized_official_last_name": "MANCUSO",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-457-0878",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014633",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "014633",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "014633",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "284074",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NY",
"license": "211177",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "284074",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "278727",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "278727",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "278727",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.