Individual provider Active NPI

Rose-Anne Manziello, R.N.

  • General Practice Registered Nurse
  • Melville, NY
National Provider Identifier
1780981654
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
634256-1 Issued in NY
Practice address
38 Old East Neck Rd
Melville, NY 11747-2817
Phone
(631) 549-5329
Fax
(631) 549-5329
NPI assigned
Feb 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 634256-1 NY Primary

Addresses

Primary practice location

38 Old East Neck Rd
Melville, NY 11747-2817

Mailing address

38 Old East Neck Rd
Melville, NY 11747-2817
Phone (631) 549-5329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
634256-1NYMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1780981654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 OLD EAST NECK RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472817",
            "telephone_number": "631-549-5329",
            "fax_number": "631-549-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OLD EAST NECK RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472817",
            "telephone_number": "631-549-5329",
            "fax_number": "631-549-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZIELLO",
        "first_name": "ROSE-ANNE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "634256-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.