Organization Active NPI

Robert a. Manaro, M.D.,P.C.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1386789329
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROBERT A. MANARO, M.D.,P.C.
Practice address
3992 Amboy Rd
Staten Island, NY 10308-2408
Phone
(718) 967-6600
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Dr. Robert Agatino Manaro, M.D.
Title
President
Phone
(718) 967-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3992 Amboy Rd
Staten Island, NY 10308-2408

Mailing address

PO Box 141288
Staten Island, NY 10314-1288
Phone (718) 967-6600

Other identifiers 1

IdentifierTypeStateIssuer
A100000080OtherNYMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1386789329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141288",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141288",
            "telephone_number": "718-967-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3992 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082408",
            "telephone_number": "718-967-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. MANARO, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "MANARO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "AGATINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-967-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100000080",
            "state": "NY"
        }
    ],
    "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 Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.