Active NPI
Ann Marie Manzo
- Registered Nurse
- Rosedale, NY
National Provider Identifier
1801421235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 380688
- Practice address
- 25321 Craft Ave
Rosedale, NY 11422-2728 - Phone
- (772) 708-0924
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 380688 | NY | Primary |
Addresses
Primary practice location
25321 Craft Ave
Rosedale, NY 11422-2728
Mailing address
25321 Craft Ave
Rosedale, NY 11422-2728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380688 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380688 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1801421235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25321 CRAFT AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25321 CRAFT AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222728",
"telephone_number": "772-708-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZO",
"first_name": "ANN MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "380688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380688",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.