NPIMap

Organization Active NPI

Manos Family Practice PC

  • Family Medicine Physician
  • West Chester, PA
National Provider Identifier
1801978010
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006148L Issued in PA
Legal business name
MANOS FAMILY PRACTICE PC
Practice address
915 Old Fern Hill Rd
Building D Suite 500
West Chester, PA 19380-4269
Phone
(610) 235-4100
Fax
(610) 235-4107
NPI assigned
Oct 19, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Antoninus Joseph Manos, DONPI 1972588325
Title
President
Phone
(610) 235-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS006148L PA Primary

Addresses

Primary practice location

915 Old Fern Hill Rd
Building D Suite 500
West Chester, PA 19380-4269

Mailing address

915 Old Fern Hill Rd
Building D Suite 500
West Chester, PA 19380-4269
Phone (610) 235-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616000201 PA Part B Supplier - Clinic/Group Practice 4486638533 Receives reassigned benefits from 13 practitioners
Practice locations: West Chester, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1011589Manos Family Practice915 Old Fern Hill Road, West Chester, PA 19380Provider-performed microscopyApr 14, 2027

National Provider Directory

National Provider Directory

Locations

915 Old Fern Hill Rd
Ste 500
West Chester, PA 19380
Phone (610) 235-4100

915 Old Fern Hill Rd
Ste D500
West Chester, PA 19380
Phone (610) 692-7025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFHIBD

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1801978010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD",
            "address_2": "BUILDING D SUITE 500",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-235-4100",
            "fax_number": "610-235-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD",
            "address_2": "BUILDING D SUITE 500",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-235-4100",
            "fax_number": "610-235-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOS FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "MANOS",
        "authorized_official_first_name": "ANTONINUS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-235-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006148L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.