Individual provider Active NPI

Mandeep Manku

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1578037644
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023159 Issued in NY
Practice address
675 3Rd Ave FL 5
New York, NY 10017-5731
Phone
(212) 922-1001
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 023159 NY Primary

Addresses

Primary practice location

675 3Rd Ave FL 5
New York, NY 10017-5731

Mailing address

1277 Jefferson Ave Apt 2
Brooklyn, NY 11221-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023159NYMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: mandeep.manku.p2@direct.ucpnyc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1578037644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 JEFFERSON AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 3RD AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175731",
            "telephone_number": "212-922-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKU",
        "first_name": "MANDEEP",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023159",
            "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 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.