Mani Hamedi MD PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

221088 Issued in NY

Legal business name

MANI HAMEDI MD PLLC

Practice address

3130 Grand Concourse
Suite B5
Bronx, NY 10458-1213

Phone

(718) 502-3937

Fax

(718) 295-4052

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Mani Hamedi, MDNPI 1588776751

Title

Owner

Phone

(310) 766-7816

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Mani Hamedi, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1588776751
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1316311434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "address_2": "SUITE B5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "718-502-3937",
            "fax_number": "718-295-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANI HAMEDI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "HAMEDI",
        "authorized_official_first_name": "MANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-766-7816",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "221088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle Alex Mani, MD
• Sridhar Mani, MD
• Sreenidhi Vanyaa Manian, MBBS
• Jonnette Ann Manifold
• Ellen Barbara Manigault, M.A., CCC-SLP

• Anesthesiology Physician in Bronx, NY
• Providers in Bronx, 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 Dec 1, 2015; 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.

Verify at the official NPI Registry.