Active NPI
Buddhadev Nathabhai Manvar, M.D.
- Cardiovascular Disease Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 139432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00709628 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139432 | NY | MD | Cardiovascular Disease Physician |
| 139342 | NY | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedford Stuyvesant Family Health Center, Inc. | Current | Accepting new patients | |
| Bedford Stuyvesant Family Health Center, Inc. | Current | Accepting new patients | |
| Jasty & Manvar PC | Cardiovascular Disease | Current | 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
- buddhadev.manvar@jmm.eclinicaldirectplus.com
- 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.
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1578695995
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1033178561
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1528836590
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.