Active NPI
Manzione Dentistry, P.C.
- General Practice Dentistry
- Glen Head, NY
National Provider Identifier
1588471858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MANZIONE DENTISTRY, P.C.
- Practice address
- 25 Glen Head Rd Ste 1
Glen Head, NY 11545-1456 - Phone
- (516) 671-1745
- Fax
- (516) 344-5603
- NPI assigned
- Dec 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas James Manzione, DMD
- Title
- Vice President
- Phone
- (516) 671-1745
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
25 Glen Head Rd Ste 1
Glen Head, NY 11545-1456
Mailing address
25 Glen Head Rd Ste 1
Glen Head, NY 11545-1456
Phone (516) 671-1745
National Provider Directory
National Provider DirectoryLocations
25 Glen Head Rd
Ste 1
Glen Head, NY 11545
Phone (516) 671-1745
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Glen Head, NY
- NPI 1285196808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1588471858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 GLEN HEAD RD STE 1",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451456",
"telephone_number": "516-671-1745",
"fax_number": "516-344-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GLEN HEAD RD STE 1",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451456",
"telephone_number": "516-671-1745",
"fax_number": "516-344-5603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANZIONE DENTISTRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "MANZIONE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "516-671-1745",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.