Paul Manadan, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

238177 Issued in NY

Practice address

4500 Parsons Blvd
Flushing, NY 11355-2205

Phone

(718) 670-5631

Fax

(718) 670-4446

NPI assigned

Jun 13, 2006

Last updated

Feb 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Northeastern Ohio University College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Millennium Pain and Spine Medicine, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Ozone Park, NY
  • NPI 1033485321
  Medicare reassignment NPD Authorized official
• Ainsworth Health, LLC

  dba Ainsworth Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Garden City, NY
  • NPI 1972022747
  NPD (past)
• Dante Trovato MD PC

  • Medical Specialty Clinic/Center
  • Ozone Park, NY
  • NPI 1053564054
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1285677674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 34TH ST",
            "address_2": "#1530",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164842",
            "telephone_number": "646-415-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205",
            "telephone_number": "718-670-5631",
            "fax_number": "718-670-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANADAN",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "238177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02722952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priya Mallikarjuna, MD, MA
• Philip James Malone, PNP
• Mamatha Sundaresh MD
• Daniel Mammon, OTR/L
• Natalie Mammon, PHARM.D.
• Javelin Manansala
• Andrea Mancuso
• Nageswara R Mandava, MD
• Bayla Mandel
• Patula Nikolaou Mandrozos, D.D.S.

• Anesthesiology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.