Individual provider Active NPI

Megha A Manik, M.D.

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1538438221
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263772 Issued in NY
Practice address
9308 Queens Blvd # 1B1C
Rego Park, NY 11374-1135
Phone
(718) 806-1434
Fax
(718) 806-1435
NPI assigned
Dec 25, 2011
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 263772 NY Primary

Addresses

Primary practice location

9308 Queens Blvd # 1B1C
Rego Park, NY 11374-1135

Mailing address

9308 Queens Blvd # 1B1C
Rego Park, NY 11374-1135
Phone (718) 806-1434

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
I20120416000231 NY Practitioner - Internal MedicinePractitioner - Hospitalist 6103087382 Reassigns benefits to 3 organizations
Practice locations: New York, NY; Jamaica, NY; Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atria Health Medical, P.C.Group PAC ID 8022356377, 2 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (718) 806-1434

9308 Queens Blvd
Rego Park, NY 11374-1135

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Apr 14, 2018 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Apr 12, 2017 Accepting new patients
Atria Health Medical, P.C. Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Apr 12, 2017 Accepting new patients
Mary Manning Walsh Nursing Home Co Inc Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

111 E 210th St
Bronx, NY 10467

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

6970 Grand Central Pkwy
Forest Hills, NY 11375
Phone (347) 740-1255

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

101 Saint Andrews Ln
Fl 1
Glen Cove, NY 11542
Phone (516) 674-1812

16411 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 296-7800

300 Community Dr
Manhasset, NY 11030

1339 York Ave
New York, NY 10021
Phone (212) 249-4970

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

9308 Queens Blvd
#1B
Rego Park, NY 11374

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1324771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1538438221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 QUEENS BLVD # 1B1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 QUEENS BLVD # 1B1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIK",
        "first_name": "MEGHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "263772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.