Active NPI
Ellen Manos, MD
- Obstetrics & Gynecology Physician
- New York, NY
National Provider Identifier
1538149356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- NYS164785
- 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, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164785 | NY | MD | Registered Nurse |
| NYS164785 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nargess Ahgharian & Ellen Manos | Past | Accepting new patients | |
| M. Zakir Sabry, MD, PC | Past | Accepting new patients |
Interoperability endpoints
- emanos67336@northwell.direct-ci.com
- 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.
-
- Plastic Surgery Physician
- New York, NY
- NPI 1801075460
-
- Specialist
- New York, NY
- NPI 1558685057
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.