Marina Mankovetskiy, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00300000 Issued in NJ

Practice address

290 Madison Ave
FL 6
New York, NY 10017-6306

Phone

(917) 817-9433

NPI assigned

Mar 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Medical Group PCGroup PAC ID 3173049962, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marina.mankovetskiy.1@32967.direct.athenahealth.com

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.

• Life Medical Group, PC

  • Multi-Specialty Clinic/Center
  • East Hanover, NJ
  • NPI 1134939333
  Medicare reassignment Care Compare group NPD
• Life Mobile Imaging, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • East Hanover, NJ
  • NPI 1508677519
  NPD

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1679715346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 OAKRIDGE LN",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "07069",
            "telephone_number": "917-817-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE",
            "address_2": "FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176306",
            "telephone_number": "917-817-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKOVETSKIY",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00300000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Manko, LCSW, OSW-C
• Jeffrey Manko, M.D.
• Aimee Mankodi, M.D.
• Mark Mankoff
• Milton Lawrence Mankoff, LMSW, PH.D, MSW
• Carl Stephen Mankowitz, M.D.
• Suzanne Kate Mankowitz, M.D.
• Mandeep Manku
• Nikhil P. Mankuzhy, MD
• Januario Tuazon Manlapaz Jr., RN

• Foot & Ankle Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.

Verify at the official NPI Registry.