Individual provider Active NPI

Anthony Gerard Maniscalco, M.D.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1659371144
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
140041 Issued in NY
Practice address
117 70TH St
Brooklyn, NY 11209-1113
Phone
(718) 836-8800
Fax
(718) 836-0144
NPI assigned
Jul 26, 2005
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 140041 NY Primary

Addresses

Primary practice location

117 70TH St
Brooklyn, NY 11209-1113

Mailing address

117 70TH St
Brooklyn, NY 11209-1113
Phone (718) 836-8800

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
I20101207000024 NY Practitioner - Neurology 6507954773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3131 Kings Hwy
Suite C1
Brooklyn, NY 11234-2643
Phone (718) 836-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140041NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Neurological Associates PC CurrentSince Oct 29, 1985 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

117 70th St
Brooklyn, NY 11209
Phone (718) 836-8800

3131 Kings Hwy
Ste C1
Brooklyn, NY 11234
Phone (718) 258-2990

Networks

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

Interoperability endpoints

  • Direct secure messaging: amaniscalco130539@nyumc.direct-ci.com
  • Direct secure messaging: anthonymaniscalco@mai.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1659371144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 70TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091113",
            "telephone_number": "718-836-8800",
            "fax_number": "718-836-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 70TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091113",
            "telephone_number": "718-836-8800",
            "fax_number": "718-836-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "ANTHONY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "140041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.