Individual provider Active NPI

Buddhadev Nathabhai Manvar, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1629061833
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
139432 Issued in NY
Practice address
6414 Bay Pkwy
Brooklyn, NY 11204-3929
Phone
(718) 234-2300
Fax
(718) 234-0098
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 139432 NY Primary
Nuclear Cardiology Physician 207UN0901X 139342 NY

Addresses

Primary practice location

6414 Bay Pkwy
Brooklyn, NY 11204-3929

Mailing address

6414 Bay Pkwy
Brooklyn, NY 11204-3929
Phone (718) 234-2300

Other identifiers 1

IdentifierTypeStateIssuer
00709628MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20101023000003 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931294592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasty and Manvar PCGroup PAC ID 1951292416, 3 clinicians

Practice addresses (Care Compare)

9413 Flatlands
Suite 101 E
Brooklyn, NY 11236-3707
Phone (718) 257-4800

Hospital & facility affiliations

  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
139432NYMDCardiovascular Disease Physician
139342NYMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Stuyvesant Family Health Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Bedford Stuyvesant Family Health Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Jasty & Manvar PC Cardiovascular Disease CurrentSince Jan 6, 1984 Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients
Kings Physician Services, PC Past Accepting new patients

Locations

9413 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 250-3712

6414 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-6737

9413 Flatlands Ave
Ste 101E
Brooklyn, NY 11236
Phone (412) 491-7611

1456 Fulton St
Brooklyn, NY 11216
Phone (718) 636-4500

6414 Bay Pkwy
#0
Brooklyn, NY 11204

Networks

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

Interoperability endpoints

  • Direct secure messaging: buddhadev.manvar@jmm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFDFAA

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1629061833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043929",
            "telephone_number": "718-234-2300",
            "fax_number": "718-234-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043929",
            "telephone_number": "718-234-2300",
            "fax_number": "718-234-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANVAR",
        "first_name": "BUDDHADEV",
        "middle_name": "NATHABHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "139432",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "139342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00709628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.