Marc Manigat, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42027 Issued in MA

Practice address

131 Emerald St
Wrentham Developmental Center
Wrentham, MA 02093-1902

Phone

(508) 384-5567

Fax

(508) 384-8938

NPI assigned

May 11, 2006

Last updated

Oct 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Shriver Clinical Services Corporation

  • Internal Medicine Physician
  • Wakefield, MA
  • NPI 1225014616
  Medicare reassignment

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1629028659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 EMERALD ST",
            "address_2": "WRENTHAM DEVELOPMENTAL CENTER",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931902",
            "telephone_number": "508-384-1687",
            "fax_number": "508-384-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 EMERALD ST",
            "address_2": "WRENTHAM DEVELOPMENTAL CENTER",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931902",
            "telephone_number": "508-384-5567",
            "fax_number": "508-384-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIGAT",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "42027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa J Loew, OT
• Long Term Centers of Wrentham, Inc (Serenity Hill Nursing & Rehab Center)
• Deborah Ann Lucas, COTA/L
• Benjamin Lyons
• Abigail Rose Malone
• Maples Rehabilitation and Nursing
• Elizabeth Marks, NP
• Kelly Christin McCauley, M.S., CCC-SLP
• Jeanne McDonald
• Jamie Alice McGrath, NREMT

• Internal Medicine Physician in Wrentham, MA
• Providers in Wrentham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.