Sindhura Manubolu, M.D

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

276665 Issued in NY

Practice address

36-11 21St St
Long Island City, NY 11106-4505

Phone

(718) 482-7772

Fax

(718) 482-9648

NPI assigned

Jul 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Community Healthcare Network Inc

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1316014103
  Medicare reassignment Care Compare group NPD
• Bronxcare Health System

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1245390855

  Family Medicine

  Medicare reassignment NPD
• Bronxcare Health System

  • Methadone Clinic
  • Bronx, NY
  • NPI 1801428222
  NPD
• Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
  • NPI 1184791923
  NPD
• Community Healthcare Network, Inc.

  • Community/Retail Pharmacy
  • Long Island City, NY
  • NPI 1720581697
  NPD
• Bronxcare Health System

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1073806519
  NPD (past)
• Community Healthcare Network Inc

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1154498053
  NPD (past)
• Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1912436858
  NPD (past)
• Q All Care Medical PC

  • Urgent Care Clinic/Center
  • Flushing, NY
  • NPI 1053949958

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1366730699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36-11 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064505",
            "telephone_number": "718-482-7772",
            "fax_number": "718-482-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89-44 164th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114326103",
            "country_code": "US",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Grand St Rm 240",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024629",
            "country_code": "US",
            "telephone_number": "212-634-7550 x7556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 W 115th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100263138",
            "country_code": "US",
            "telephone_number": "212-426-0088",
            "fax_number": "212-426-8367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 W 157TH ST",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100325058",
            "country_code": "US",
            "telephone_number": "212-781-7979",
            "fax_number": "212-781-7963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 E Houston St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100021013",
            "country_code": "US",
            "telephone_number": "212-477-1120",
            "fax_number": "212-477-8957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1276 Fulton Ave",
            "address_2": "4th floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104563402",
            "country_code": "US",
            "telephone_number": "646-866-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593204",
            "country_code": "US",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94-98 Manhattan Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112062505",
            "country_code": "US",
            "telephone_number": "718-388-0390",
            "fax_number": "718-486-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 3rd Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104574501",
            "country_code": "US",
            "telephone_number": "718-294-5891",
            "fax_number": "718-294-2468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 W 158th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100327202",
            "country_code": "US",
            "telephone_number": "917-521-3130 x3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2581 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072412",
            "country_code": "US",
            "telephone_number": "718-495-6700",
            "fax_number": "646-988-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1167 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112255417",
            "country_code": "US",
            "telephone_number": "718-778-0198",
            "fax_number": "718-221-8169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Blake Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112083535",
            "country_code": "US",
            "telephone_number": "718-277-8303",
            "fax_number": "718-277-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUBOLU",
        "first_name": "SINDHURA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0040878",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "276665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Mannas, LMSW
• Ekaterini Manolis
• Steven Barry Manson, DDS
• Kendall L Mansukhani
• Boris Mantell, RPH
• Clara Ines Manzano, SPECIAL EDUCATION
• Yin Mar, PA
• Ekaterina Mariano, RN
• Karen Mark, LMSW
• Lourdes Monia Marotiere, BSN

• Geriatric Medicine (Family Medicine) Physician in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Geriatric Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.