Active NPI
Roy Manuel
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1346496338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1050 Clove Rd
Staten Island, NY 10301-3627 - Phone
- (718) 816-6440
- Fax
- (718) 816-3611
- NPI assigned
- Aug 11, 2008
- Last updated
- Sep 20, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NY | Primary |
Addresses
Primary practice location
1050 Clove Rd
Staten Island, NY 10301-3627
Mailing address
55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
153 Cannon Ave
Staten Island, NY 10314-4607
Phone (718) 690-4238
Other practice location 2
4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone (718) 948-8200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024253 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Medical Health Care P.C. | Past | Accepting new patients | |
| Staten Island Physician Practice PC | Past | Accepting new patients | |
| Interpublic Medical PC | Past | Accepting new patients | |
| Comprehensive Rehabilitation Medicine P.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1053481838
-
- Ph.D. Medical Genetics
- Staten Island, NY
- NPI 1982931218
-
- Obstetrics & Gynecology Physician
- Staten Island, NY
- NPI 1154628501
-
dba AdvantageCare Physicians
- Internal Medicine Physician
- New York, NY
- NPI 1568413169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1346496338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER STREET",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CLOVE RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013627",
"telephone_number": "718-816-6440",
"fax_number": "718-816-3611"
}
],
"practiceLocations": [
{
"address_1": "153 Cannon Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103144607",
"country_code": "US",
"telephone_number": "718-690-4238",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4771 Hylan Blvd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103126315",
"country_code": "US",
"telephone_number": "718-948-8200",
"fax_number": "718-420-2718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANUEL",
"first_name": "ROY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.