Active NPI
Andrew Maniscalco Jr.
- Occupational Therapist
- Buffalo, NY
National Provider Identifier
1366740300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0093631
- Practice address
- 50 Welwyn Cir
Buffalo, NY 14223-1723 - Phone
- (716) 831-9585
- NPI assigned
- Feb 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0093631 | NY | Primary |
Addresses
Primary practice location
50 Welwyn Cir
Buffalo, NY 14223-1723
Mailing address
50 Welwyn
Buffalo, NY 14223
Phone (716) 831-9585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093631 | Other | OCCUPATIONAL THERAPY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0093631 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1366740300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WELWYN",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14223",
"telephone_number": "716-831-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WELWYN CIR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142231723",
"telephone_number": "716-831-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANISCALCO",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-28",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0093631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY",
"identifier": "0093631",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.