Individual provider Active NPI

Dana Marie Manzo

  • Speech-Language Pathologist
  • New Windsor, NY
National Provider Identifier
1356991889
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
815 Blooming Grove Tpke Ste 601
New Windsor, NY 12553-8138
Phone
(845) 527-2089
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

815 Blooming Grove Tpke Ste 601
New Windsor, NY 12553-8138

Mailing address

192 Eagle Ridge Way
Nanuet, NY 10954-1023
Phone (845) 787-6087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721004303 NY Practitioner - Qualified Speech Language Pathologist 1850715095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Children's Health Physicians LLPGroup PAC ID 8325937014, 80 clinicians

Practice addresses (Care Compare)

30 Plaza W
Children's and Women's Physicians of
Valhalla, NY 10595-1572
Phone (914) 594-4914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029864NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Therapeutics PT & OT PLLC CurrentSince Feb 17, 2024 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jan 3, 2022 Accepting new patients
Hudson Valley Speech & Swallowing Therapy PLLC Speech-Language Pathologist CurrentSince Sep 25, 2019 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Speech-Language Pathologist CurrentSince Jul 1, 2020 Accepting new patients
Boston Children's Health Physicians, LLP CurrentSince Jan 3, 2022 Accepting new patients
Hudson Valley Speech & Swallowing Therapy PLLC PastSince Sep 25, 2019 Accepting new patients
Rehabpro Physical Therapy, PC PastSince Jun 12, 2019 Accepting new patients
Propel Physical Therapy PC PastSince Feb 17, 2024 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

560 Broadhollow Rd
Ste 304
Melville, NY 11747
Phone (516) 222-2010

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

815 Blooming Grove Tpke
Ste 601
New Windsor, NY 12553
Phone (845) 527-2089

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

30 Plaza W
Ste 213
Valhalla, NY 10595
Phone (914) 594-4262

30 Plaza W
Valhalla, NY 10595
Phone (914) 594-4912

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1356991889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 EAGLE RIDGE WAY",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541023",
            "telephone_number": "845-787-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BLOOMING GROVE TPKE STE 601",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538138",
            "telephone_number": "845-527-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-04-07",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.