Active NPI
James Manzione, M.D.
- Neuroradiology Physician
- Lindenhurst, NY
National Provider Identifier
1326074162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 154353
- Practice address
- 150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598 - Phone
- (631) 225-7200
- Fax
- (631) 930-9451
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 154353 | NY | Primary |
Addresses
Primary practice location
150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598
Mailing address
150 E Sunrise Hwy
208
Lindenhurst, NY 11757-2598
Phone (631) 225-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00957566 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154353 | NY | MD | Neuroradiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1326074162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E SUNRISE HWY",
"address_2": "208",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117572598",
"telephone_number": "631-225-7200",
"fax_number": "631-930-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E SUNRISE HWY",
"address_2": "208",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117572598",
"telephone_number": "631-225-7200",
"fax_number": "631-930-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZIONE",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NY",
"license": "154353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00957566",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.