Active NPI
John C. Manley, M.D.
- Anesthesiology Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 029933
- Practice address
- 1312 W Main St
Waterbury, CT 06708-3121 - Phone
- (203) 756-6422
- Fax
- (203) 756-2448
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 029933 | CT | Primary |
Addresses
Primary practice location
1312 W Main St
Waterbury, CT 06708-3121
Mailing address
10 Commerce Dr
New Rochelle, NY 10801-5214
Phone (914) 637-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02727388 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029933 | CT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Gi PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Anesthesiology | Current | Accepting new patients |
| Resource Anesthesiology Associates of CT PC | Anesthesiology | Current | Accepting new patients |
Locations
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
1312 W Main St
Waterbury, CT 06708
Phone (203) 709-4575
539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
-
- Anesthesiology Physician
- Torrington, CT
- NPI 1447233176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1447234802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COMMERCE DR",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015214",
"telephone_number": "914-637-3510",
"fax_number": "914-819-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 W MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083121",
"telephone_number": "203-756-6422",
"fax_number": "203-756-2448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "JOHN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "029933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02727388",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.