Individual provider Active NPI

Panagiotis Manolas, M.D.

  • Surgery Physician
  • Astoria, NY
National Provider Identifier
1720050701
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
172874 Issued in NY
Practice address
3016 30TH Dr
Astoria, NY 11102-1874
Phone
(718) 626-0707
Fax
(718) 545-0333
NPI assigned
Feb 3, 2006
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 172874 NY Primary

Addresses

Primary practice location

3016 30TH Dr
Astoria, NY 11102-1874

Mailing address

3016 30TH Dr
Astoria, NY 11102-1874
Phone (718) 626-0707

Other identifiers 1

IdentifierTypeStateIssuer
01051445MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040728001717 NY Practitioner - General Surgery 5294705075 Reassigns benefits to 4 organizations
I20231109001481 NJ Practitioner - General SurgeryPractitioner - General Practice 5294705075 Reassigns benefits to 3 organizations
I20231212000255 CT Practitioner - General Surgery 5294705075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Related Surgical Specialties, PCGroup PAC ID 7810351459, 12 clinicians
Surgical Specialists of Greater Ny LLPGroup PAC ID 3375729833, 12 clinicians

Practice addresses (Care Compare)

1060 5TH Ave
Suite 1B
New York, NY 10128-0104
Phone (212) 988-8269

40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (718) 626-0707

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fifth Avenue Surgical Specialists PLLC Surgery CurrentSince Oct 18, 2023 Accepting new patients
Surgical Specialists of New Jersey New York PC Surgery CurrentSince Jun 15, 2015 Accepting new patients
Emusc, LLC CurrentSince Sep 1, 2017 Accepting new patients
Related Surgical Specialties, PC Surgery CurrentSince Sep 30, 2025 Accepting new patients
Northeast Surgical Specialists of NJ PC Surgery CurrentSince Nov 12, 2025 Accepting new patients
Emusc, LLC CurrentSince Sep 1, 2017 Accepting new patients
Fifth Avenue Surgical Specialists PLLC Surgery CurrentSince Oct 18, 2023 Accepting new patients
Asklipios Medical Group, LLP PastSince Dec 2, 2005 Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

75 Holly Hill Ln
Ste 201
Greenwich, CT 06830
Phone (201) 357-8888

140 Sylvan Ave
Ste 213
Englewood Cliffs, NJ 07632
Phone (551) 444-2407

185 Cedar Ln
Ste L1
Teaneck, NJ 07666
Phone (201) 357-8888

3016 30th Dr
Ste 3B
Astoria, NY 11102
Phone (973) 972-2323

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

6110 Queens Blvd
Ste B
Woodside, NY 11377
Phone (917) 626-6457

Networks

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

Interoperability endpoints

  • Direct secure messaging: pmanolas65650@northwell.direct-ci.com

Organizations & group practices 11

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 3

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1720050701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 30TH DR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLAS",
        "first_name": "PANAGIOTIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "172874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.