Raquel Manuel, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

007033-1 Issued in NY

Practice address

77A Route 25a
Rocky Point, NY 11778-8881

Phone

(631) 849-6363

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1568530087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CURTIS DR",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117892213",
            "telephone_number": "631-849-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77A ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788881",
            "telephone_number": "631-849-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "RAQUEL",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007033-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J Lukasz, RN
• Cheryl R Lynch, OT/L
• Alison M Maletta, CRNA
• Lisa Malinowski, LPN
• Krysti Maloney, M.S., CCC-SLP
• Fredric J Matlin, MD
• Maureen T. Shea LMSW Psychologist PC
• Renee McDonald-Fleming
• C. Elizabeth McLary
• Kerri Ann McMearty, R.N.

• Medical Physician Assistant in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.