Organization Active NPI

Manzione Dentistry, P.C.

  • General Practice Dentistry
  • Glen Head, NY
National Provider Identifier
1588471858
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Thomas James Manzione, DMDNPI 1285196808
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.