Individual provider Active NPI

Rachel Manci, MD

  • Dermatology Physician
  • Stony Brook, NY
National Provider Identifier
1770164212
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
344071 Issued in NY
Practice address
1320 Stony Brook Rd BLDG F
Stony Brook, NY 11790-2206
Phone
(631) 444-4200
NPI assigned
Apr 16, 2021
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 344071 NY Primary

Addresses

Primary practice location

1320 Stony Brook Rd BLDG F
Stony Brook, NY 11790-2206

Mailing address

1320 Stony Brook Rd Ste 200
Stony Brook, NY 11790-2215
Phone (631) 444-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220707001940 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1254711377

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Pathologists, University Faculty Practice Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmanci122450@mskcc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1770164212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 STONY BROOK RD STE 200",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902215",
            "telephone_number": "631-444-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 STONY BROOK RD BLDG F",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902206",
            "telephone_number": "631-444-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCI",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "344071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.