Active NPI
Nathan Manna, PA-C
- Physician Assistant
- Buffalo, NY
National Provider Identifier
1306205059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 019525
- Practice address
- 351 McKinley Pkwy
Buffalo, NY 14220-2227 - Phone
- (706) 405-1614
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019525 | NY | Primary |
Addresses
Primary practice location
351 McKinley Pkwy
Buffalo, NY 14220-2227
Mailing address
351 McKinley Pkwy
Buffalo, NY 14220-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019525 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Past | Accepting new patients | |
| Delaware Pediatric Associates | Past | Accepting new patients |
Interoperability endpoints
- nmanna@delawarepeds.medentdirect.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1255604583
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1306205059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 MCKINLEY PKWY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 MCKINLEY PKWY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202227",
"telephone_number": "706-405-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNA",
"first_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.