Organization Active NPI

Mano R Zachariah MD

  • Internal Medicine Physician
  • Orangeburg, NY
National Provider Identifier
1669838645
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229871 Issued in NY
Legal business name
MANO R ZACHARIAH MD
Practice address
60 Dutch Hill Rd
Suite 12
Orangeburg, NY 10962-1723
Phone
(845) 499-2007
Fax
(845) 499-2542
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Mano R Zachariah, MDNPI 1861552051
Title
Physician
Phone
(845) 499-2007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 229871 NY Primary

Addresses

Primary practice location

60 Dutch Hill Rd
Suite 12
Orangeburg, NY 10962-1723

Mailing address

P.O. Box 224
Orangeburg, NY 10962-1723
Phone (845) 499-2007

Other identifiers 1

IdentifierTypeStateIssuer
02514345MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1669838645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 224",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-499-2007",
            "fax_number": "845-499-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DUTCH HILL RD",
            "address_2": "SUITE 12",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621723",
            "telephone_number": "845-499-2007",
            "fax_number": "845-499-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANO R ZACHARIAH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "ZACHARIAH",
        "authorized_official_first_name": "MANO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-499-2007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02514345",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.