Active NPI
Zinat N. Maniky, M.D.
- Family Medicine Physician
- Monroeville, PA
National Provider Identifier
1447513619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD455927
- Practice address
- 4905 William Penn Highway
Icare Medical LLC
Monroeville, PA 15146 - Phone
- (814) 534-9106
- Fax
- (814) 534-5599
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD455927 | PA | Primary |
Addresses
Primary practice location
4905 William Penn Highway
Icare Medical LLC
Monroeville, PA 15146
Mailing address
100 Susan Drive
Icare Medical LLC.
Johnstown, PA 15905
Phone (814) 255-1963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD455927 | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1447513619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SUSAN DRIVE",
"address_2": "ICARE MEDICAL LLC.",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "15905",
"telephone_number": "814-255-1963",
"fax_number": "814-255-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 WILLIAM PENN HIGHWAY",
"address_2": "ICARE MEDICAL LLC",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "15146",
"telephone_number": "814-534-9106",
"fax_number": "814-534-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIKY",
"first_name": "ZINAT",
"middle_name": "N.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD455927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.