Active NPI
Wilbert B. Maniego, M.D., P.C.
- Geriatric Medicine (Internal Medicine) Physician
- New Hyde Park, NY
National Provider Identifier
1295032753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 221557-1
- Legal business name
- WILBERT B. MANIEGO, M.D., P.C.
- Practice address
- 915 Hillside Ave
New Hyde Park, NY 11040-2529 - Phone
- (718) 343-7600
- Fax
- (718) 343-7603
- NPI assigned
- Feb 18, 2011
- 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
- Dr. Wilbert B Maniego, M.D.
- Title
- President/Physician
- Phone
- (718) 343-7600
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 221557 | NY | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 221557-1 | NY | Primary |
Addresses
Primary practice location
915 Hillside Ave
New Hyde Park, NY 11040-2529
Mailing address
915 Hillside Ave
New Hyde Park, NY 11040-2529
Phone (718) 343-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1356392427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332115200000",
"number": "1295032753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402529",
"telephone_number": "718-343-7600",
"fax_number": "718-343-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HILLSIDE AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110402529",
"telephone_number": "718-343-7600",
"fax_number": "718-343-7603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILBERT B. MANIEGO, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-18",
"last_updated": "2012-03-19",
"status": "A",
"authorized_official_last_name": "MANIEGO",
"authorized_official_first_name": "WILBERT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "718-343-7600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "221557",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "221557-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.