NPIMap

Individual provider Active NPI

Gina M Manzo, MD

  • Internal Medicine Physician
  • Braintree, MA
National Provider Identifier
1740231729
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
222715 Issued in MA
Practice address
10 Forbes Rd
Suite 190
Braintree, MA 02184-2605
Phone
(781) 884-6300
Fax
(781) 884-6305
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 222715 MA Primary

Addresses

Primary practice location

10 Forbes Rd
Suite 190
Braintree, MA 02184-2605

Mailing address

97 Libbey Pkwy
Ste 204
Weymouth, MA 02189-3110
Phone (508) 350-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000506 MA Practitioner - Internal Medicine 1759343304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare South PCGroup PAC ID 0941273262, 24 clinicians

Practice addresses (Care Compare)

340 Wood Rd
Suite 101
Braintree, MA 02184-2404
Phone (781) 803-2786

Hospital & facility affiliations

  • South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC CurrentSince Oct 1, 2021 Accepting new patients
Coastal Medical Associates CurrentSince Apr 10, 2020 Accepting new patients

Locations

340 Wood Rd
Ste 101
Braintree, MA 02184
Phone (781) 803-2786

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

97 Libbey Park
Ste 204
Weymouth, MA 02189
Phone (781) 803-2786

Interoperability endpoints

  • Direct secure messaging: ginamanzo@hcs.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1740231729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 LIBBEY PKWY",
            "address_2": "STE 204",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893110",
            "telephone_number": "508-350-2350",
            "fax_number": "508-350-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORBES RD",
            "address_2": "SUITE 190",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842605",
            "telephone_number": "781-884-6300",
            "fax_number": "781-884-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "222715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.