Individual provider Active NPI

Ellen Manos, MD

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1538149356
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
NYS164785 Issued in NY
Practice address
936 5TH Ave
Suite2
New York, NY 10021-2653
Phone
(212) 879-5051
Fax
(212) 734-0431
NPI assigned
Jan 18, 2006
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NYS164785 NY Primary

Addresses

Primary practice location

936 5TH Ave
Suite2
New York, NY 10021-2653

Mailing address

936 5TH Ave
Suite2
New York, NY 10021-2653
Phone (212) 879-5051

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141215000309 NY Practitioner - Obstetrics/Gynecology 3476875824 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

936 5TH Ave
Suite 2
New York, NY 10021-2653
Phone (212) 879-5051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164785NYMDRegistered Nurse
NYS164785NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nargess Ahgharian & Ellen Manos Past Accepting new patients
M. Zakir Sabry, MD, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emanos67336@northwell.direct-ci.com
  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/279809/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1538149356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 5TH AVE",
            "address_2": "SUITE2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212653",
            "telephone_number": "212-879-5051",
            "fax_number": "212-734-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 5TH AVE",
            "address_2": "SUITE2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212653",
            "telephone_number": "212-879-5051",
            "fax_number": "212-734-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOS",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "NYS164785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.