Manana Petrov Primary Medical Care, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANANA PETROV PRIMARY MEDICAL CARE, PC

Practice address

353 Ocean Avenue
Brooklyn, NY 11226-1308

Phone

(718) 850-6345

Fax

(718) 559-4895

NPI assigned

Oct 2, 2008

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manana Petrov, MDNPI 1881620227

Title

Director

Phone

(718) 850-6345

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Manana Petrov Primary Medical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Manana Petrov Primary Medical Care, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1609948140
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manana Petrov, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1881620227
  Medicare reassignment Care Compare group NPD Authorized official
• Pankaj Khullar, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1497035588
  Medicare reassignment Care Compare group NPD
• Joan Alexandra Borromeo Torralba, PT

  • Physical Therapist
  • New York, NY
  • NPI 1952604175
  Medicare reassignment Care Compare group NPD
• Cesar E Ayala-Rodriguez, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1104156728
  Medicare reassignment NPD
• Sarath Reddy, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1558334078
  Medicare reassignment NPD

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1508017062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261308",
            "telephone_number": "718-940-2100",
            "fax_number": "718-940-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 OCEAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261308",
            "telephone_number": "718-850-6345",
            "fax_number": "718-559-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANANA PETROV PRIMARY MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "PETROV",
        "authorized_official_first_name": "MANANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-850-6345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Mari Angela Manago, OTR/L
• Anecia Manaiza
• Bella Manakhimova
• Judy Tricia Manalili
• Dineo Manamolela, RN
• Manana Petrov Primary Medical Care, PC
• Meghan Louise Manangon, RN, IBCLC
• Mikhail Manasherov, PMHNP
• Manashir Ruvinov Family Health NP PC
• Alissa Manashirov

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.