Individual provider Active NPI

Steven Barry Manson, DDS

  • General Practice Dentistry
  • Long Island City, NY
National Provider Identifier
1649350471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038492 Issued in NY
Practice address
3601 31St St
Long Island City, NY 11106-2322
Phone
(718) 729-8383
Fax
(718) 729-8364
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 038492 NY Primary

Addresses

Primary practice location

3601 31St St
Long Island City, NY 11106-2322

Mailing address

36-01 31St Street
Long Island City, NY 11106
Phone (718) 729-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 20, 2015 through Oct 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038492NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven B Manson DDS PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649350471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36-01 31ST STREET",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "718-729-8383",
            "fax_number": "718-729-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 31ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062322",
            "telephone_number": "718-729-8383",
            "fax_number": "718-729-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSON",
        "first_name": "STEVEN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.