Individual provider Active NPI

Manali Kanitkar, DMD

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1447475967
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
051653 Issued in NY
Practice address
37 E 28TH St RM 800
New York, NY 10016-7916
Phone
(917) 749-5343
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 051653 NY Primary
Pediatric Dentistry 1223P0221X DN 16667 FL

Addresses

Primary practice location

37 E 28TH St RM 800
New York, NY 10016-7916

Mailing address

320 E 54TH St Apt 12B
New York, NY 10022-5031
Phone (954) 559-2553

Other identifiers 2

IdentifierTypeStateIssuer
075955400MedicaidFL
03398029MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150831002829 NY Practitioner - Oral Surgery 8123056025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 16667FLMDPediatric Dentist
051653NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiny Tots Dental Care P.C. Pediatric Dentistry CurrentSince Jun 23, 2025 Accepting new patients
Wyckoff Heights Dental Services P.C. Pediatric Dentistry CurrentSince Jul 6, 2015 Accepting new patients
Collier Health Services Inc Past Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

37 E 28th St
Rm 800
New York, NY 10016
Phone (212) 381-1612

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1447475967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 54TH ST APT 12B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225031",
            "telephone_number": "954-559-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E 28TH ST RM 800",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167916",
            "telephone_number": "917-749-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANITKAR",
        "first_name": "MANALI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "051653",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 16667",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075955400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03398029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.