Federica A. Manetti, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

176622 Issued in NY

Practice address

249 Route 11a
Nedrow, NY 13120-4500

Phone

(315) 469-6449

Fax

(315) 469-0593

NPI assigned

Apr 28, 2006

Last updated

Jan 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353
  NPD (past)
• Upstate Family and Preventive Medicine, Inc

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1073988911
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1386601763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 ROUTE 11 A",
            "city": "NEDROW",
            "state": "NY",
            "postal_code": "13120",
            "telephone_number": "315-469-6449",
            "fax_number": "315-469-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 ROUTE 11A",
            "city": "NEDROW",
            "state": "NY",
            "postal_code": "131204500",
            "telephone_number": "315-469-6449",
            "fax_number": "315-469-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANETTI",
        "first_name": "FEDERICA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "176622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Anne Kozik, FNP
• Brigitte Lee
• Emma Lingo, FNP-BC
• Megan Floris Luton, S.L.P.
• Maxine Anne Malone, LPN
• Asia M McBride, RN
• Sheila Oliver
• Onondaga Central Schools
• Syracuse University Hospital
• Nadia Wajid Bey-Wright, LMSW

• Family Medicine Physician in Nedrow, NY
• Providers in Nedrow, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.