Krystie Leigh Manaro, FNP
Individual provider Active NPI Family Nurse Practitioner · East Moriches, NY
NPI 1598259657 · NPPES record last updated Feb 23, 2026
Key facts
- NPI
- 1598259657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 343056 (NY)
- Practice address
- 492 Montauk Hwy
East Moriches, NY 11940-1347 - Phone
- (631) 417-9010
- Fax
- (631) 772-2495
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brookhaven Heart PLLC
Practice addresses (Care Compare)
325 E Main St
Suite 120
Patchogue, NY 11772-3114
Phone (631) 654-3278
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190711003241 | NY | Practitioner - Nurse Practitioner | 1355676487 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 343056 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Heart PLLC | Current |
Accepting new patients | |
| John T. Mather Memorial Hospital | Current |
Accepting new patients |
Locations
325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEFCAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 343056 | NY | Yes |
Addresses
Primary practice location
492 Montauk Hwy
East Moriches, NY 11940-1347
Mailing address
325 E Main St Ste 120
Patchogue, NY 11772-3114
Other practice location 1
75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320
Other providers in East Moriches, NY
- Irene Logan
- Diana Lucenti
- Kristina Macdonald
- Erica Lee Mailand
- Kathleen Frances Malsky
- Kaitlyn Martin
- William C McConnell
- Cynthia Lynn McDonald
- Dhiren Chhotalal Mehta
- Ranjana D Mehta
All providers in East Moriches, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.