NPIMap

Individual provider Active NPI

Mario Joseph Manna, DO

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1295714020
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223184 Issued in NY
Practice address
7318 13TH Ave
Brooklyn, NY 11228-2011
Phone
(718) 630-1404
Fax
(718) 630-1406
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 223184 NY Primary

Addresses

Primary practice location

7318 13TH Ave
Brooklyn, NY 11228-2011

Mailing address

PO Box 090965
Brooklyn, NY 11209-0965
Phone (718) 630-1404

Other identifiers 1

IdentifierTypeStateIssuer
02439632MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmanna113782@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080815000081 NY Practitioner - Family Practice 0143395897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

7316 13TH Ave
Brooklyn, NY 11228-2011
Phone (718) 630-1404

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
Jeremiah M Gelles, MD PC Past Accepting new patients
United Medical Associates,PLLC Past Accepting new patients

Locations

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

7316 13th Ave
Brooklyn, NY 11228
Phone (718) 630-1404

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

Interoperability endpoints

  • Direct secure messaging: mmanna113782@nyumc.direct-ci.com

Organizations & group practices 4

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1295714020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 090965",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112090965",
            "telephone_number": "718-630-1404",
            "fax_number": "718-630-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282011",
            "telephone_number": "718-630-1404",
            "fax_number": "718-630-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNA",
        "first_name": "MARIO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02439632",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmanna113782@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "7318 13th Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112282011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.