Active NPI
Manoj Kantu, M.D.
- Specialist
- Brooklyn, NY
National Provider Identifier
1679617971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 208745
- Practice address
- 2204 Voorhies Ave
Brooklyn, NY 11235-2820 - Phone
- (718) 646-2500
- Fax
- (718) 648-4583
- NPI assigned
- Feb 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 208745 | NY | Primary |
Addresses
Primary practice location
2204 Voorhies Ave
Brooklyn, NY 11235-2820
Mailing address
2204 Voorhies Ave
Brooklyn, NY 11235-2820
Phone (718) 646-2500
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159164 | Other | NY | ELDERPLAN |
| 001971490 | Other | NY | UHC |
| 20874501 | Other | NY | NEIGHBORHOOD |
| 294498 | Other | NY | WELLCARE |
| 328990101 | Other | NY | HEALTHPLUS |
| 00Z6110 | Other | NY | BCBS |
| 01951000 | Medicaid | NY | |
| 113515454 | Other | NY | 1199 |
| 2227732 | Other | NY | USHC |
| 7058737 | Other | NY | AETNAPPO |
| P2010895 | Other | NY | OXFORD |
| 010232901 | Other | NY | AMERICHOICE |
| 010232902 | Other | NY | BAYRIDGEAMERICHOICE |
| 9602037 | Other | NY | GHIPPO |
| 3877816 | Other | NY | AETNAHMO |
| 3C2434 | Other | NY | HEALTHNET |
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
- Otolaryngology
- Education
- Warren Alpert Medical School of Brown University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2204 Voorhies Ave
Brooklyn, NY 11235-2820
Phone (718) 646-2500
9015 5TH Ave
Brooklyn, NY 11209-5932
Phone (718) 646-3776
Hospital & facility affiliations
- Mount Sinai Beth Israel
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.33 of 100
- Quality
- 48.66
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mkantu@kantu.mdlogic.direct-ci.com
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 and National Provider Directory roles.
-
- Specialist
- Brooklyn, NY
- NPI 1649465535
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1679617971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 VOORHIES AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352820",
"telephone_number": "718-646-2500",
"fax_number": "718-648-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 VOORHIES AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352820",
"telephone_number": "718-646-2500",
"fax_number": "718-648-4583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTU",
"first_name": "MANOJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "208745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "159164",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "001971490",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD",
"identifier": "20874501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "294498",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "328990101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00Z6110",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01951000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "113515454",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC",
"identifier": "2227732",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNAPPO",
"identifier": "7058737",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2010895",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "010232901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAYRIDGEAMERICHOICE",
"identifier": "010232902",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHIPPO",
"identifier": "9602037",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNAHMO",
"identifier": "3877816",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C2434",
"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 Oct 2, 2012; 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.