Shira Manheim, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F383038 Issued in NY

Practice address

7119 162ND St
Fresh Meadows, NY 11365-4444

Phone

(718) 969-9700

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Shira Kenigsberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: smanheim19540@direct.optum.com

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

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• Prohealth Care Associates LLP

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  • NPI 1275596280
  NPD (past)

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1588064018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 162ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654444",
            "telephone_number": "718-969-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 162ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654444",
            "telephone_number": "718-969-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANHEIM",
        "first_name": "SHIRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "682568",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRA",
            "last_name": "KENIGSBERG",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luiza. Malakova
• Sree D Malepati, RPH
• Angelina Mamanova
• Abigail Mandel, LMSW
• Chloe Andrea Mangila, OTR/L
• Manor Dental PC
• Katherine Mantzikos, DMD
• Jan Nuel Sales Manuel, PT
• Gina Marasa-Catania, SPEECH-LANGUAGE PATH
• Rose M Marcus, MD

• Pediatric Nurse Practitioner in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.