Individual provider Active NPI

Ahmed Manaa

  • Single Specialty Group
  • Brooklyn, NY
National Provider Identifier
1477980423
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Single Specialty GroupTaxonomy code 193400000X
License
034892 Issued in NY
Practice address
2514 E 14TH St
Brooklyn, NY 11235-3904
Phone
(347) 393-5248
NPI assigned
Oct 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Single Specialty Group 193400000X 034892 NY Primary

Addresses

Primary practice location

2514 E 14TH St
Brooklyn, NY 11235-3904

Mailing address

2514 E 14TH St
Brooklyn, NY 11235-3904
Phone (347) 393-5248

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

NPI Registry JSON

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

{
    "created_epoch": "1381017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1477980423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353904",
            "telephone_number": "347-393-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353904",
            "telephone_number": "347-393-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAA",
        "first_name": "AHMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-06",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "193400000X",
            "taxonomy_group": "",
            "desc": "Single Specialty",
            "state": "NY",
            "license": "034892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.