Individual provider Active NPI

Pauline Manu

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1770259806
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347885 Issued in NY
Practice address
740 E 178TH St Apt 7G
Bronx, NY 10457-5117
Phone
(917) 371-3492
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347885 NY Primary

Addresses

Primary practice location

740 E 178TH St Apt 7G
Bronx, NY 10457-5117

Mailing address

740 E 178TH St Apt 7G
Bronx, NY 10457-5117
Phone (917) 371-3492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218001065 NY Practitioner - Nurse Practitioner 9436686250 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Oct 12, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 12, 2024 Accepting new patients
Vantage Medical Associates PC CurrentSince Aug 1, 2025 Accepting new patients
Comprehensive Family Health NP Services PC Family CurrentSince Jul 20, 2025 Accepting new patients

Locations

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

1008 Central Ave
Ste 1000
Woodmere, NY 11598
Phone (347) 370-2490

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1770259806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 178TH ST APT 7G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575117",
            "telephone_number": "917-371-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 178TH ST APT 7G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575117",
            "telephone_number": "917-371-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANU",
        "first_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.