Manidvipa Health LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MANIDVIPA HEALTH LLC

Practice address

158-01 Cross Bay Blvd
Howard Beach, NY 11414

Phone

(516) 260-6425

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Harirajan Mani, MD

Title

Ceo

Phone

(423) 268-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1689496085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VALLEY BROOK CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158-01 CROSS BAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "516-260-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIDVIPA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "MANI",
        "authorized_official_first_name": "HARIRAJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-268-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ho Yueh Mah, FNP-C
• Mainline Medical PC
• Carmela Anne Maio, MS CCC SLP TSHH
• Amanda Mary Mallahy, PA
• Simranjit Singh Mangat, DO
• Tzvi Manies, NP
• Christopher Maniscalco, RN
• Andrew J Mantel, D.M.D
• Marc Mishan O.D., P.C.
• Maria N. Musso, D.O.

• Primary Care Clinic/Center in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.