Individual provider Active NPI

Charles Manopla

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1639596182
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
287885 Issued in NY
Practice address
450 Clarkson Ave # 49
Brooklyn, NY 11203-2098
Phone
(718) 270-2957
NPI assigned
Mar 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 287885 NY Primary

Addresses

Primary practice location

450 Clarkson Ave # 49
Brooklyn, NY 11203-2098

Mailing address

450 Clarkson Ave # 49
Brooklyn, NY 11203-2098
Phone (718) 270-2957

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
I20180305001369 NY Practitioner - Pediatric Medicine 2062773260 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Dec 31, 2017 Accepting new patients
University Physicians of Brooklyn, Inc. Pediatrics CurrentSince Dec 31, 2017 Accepting new patients
Harlem Medical Associates PC CurrentSince Jul 1, 2019 Accepting new patients
New York University CurrentSince Jul 1, 2023 Accepting new patients
New York University Pediatrics CurrentSince Jul 1, 2023 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Sephardic Medical PC PastSince Mar 1, 2021 Accepting new patients

Locations

450 Clarkson Ave
#49
Brooklyn, NY 11203
Phone (718) 270-1625

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

Networks

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

Interoperability endpoints

  • Direct secure messaging: cmanopla886821@nychhc.direct-ci.com
  • Direct secure messaging: charlesmanopla@mai.allscriptsdirect.net
  • Direct secure messaging: cmanopla555638@nyumc.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1639596182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # 49",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032098",
            "telephone_number": "718-270-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # 49",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032098",
            "telephone_number": "718-270-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOPLA",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-22",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "287885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.