Marina R Manunts, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050046 Issued in NY

Practice address

2329 N Triphammer Rd
Ithaca, NY 14850-1011

Phone

(607) 257-0060

Fax

(607) 257-0042

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northeast Family Dental PLLC

  • General Practice Dentistry
  • Ithaca, NY
  • NPI 1366583288
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417047465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501011",
            "telephone_number": "607-257-0060",
            "fax_number": "607-257-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501011",
            "telephone_number": "607-257-0060",
            "fax_number": "607-257-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUNTS",
        "first_name": "MARINA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02299296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Cobelli Mandl, RN
• Meenakshi Mann, PT
• Maria Manna, M.A., LMHC
• Joseph A Mannino, MD
• Abby Manol, D.C.
• Diane Jeanette Marabella, RN
• Ellen Maranca, LCSW
• Jasmine O Marcus, PT, DPT
• Walter Edward Margie III, M.D.
• Maria Muscente, LCSW, PC

• General Practice Dentistry in Ithaca, NY
• Providers in Ithaca, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.