Individual provider Active NPI

Prasija Manoj, DNP FNP - C

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1811324072
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337752 Issued in NY
Practice address
1991 Marcus Ave, 2ND Floor
New Hyde Park, NY 11042
Phone
(516) 354-1600
Fax
(516) 941-4677
NPI assigned
Oct 2, 2013
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 F337752 NY Primary

Addresses

Primary practice location

1991 Marcus Ave, 2ND Floor
New Hyde Park, NY 11042

Mailing address

55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888

Other practice location 1

185 Merrick RD
Suite 1A
Lynbrook, NY 11563
Phone (516) 593-3535

Other practice location 2

185 Merrick RD
Suite 1A
Lynbrook, NY 11563
Phone (516) 593-3535

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
I20140327000127 NY Practitioner - Nurse Practitioner 0244461770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Circle Medical Care of New York PCGroup PAC ID 0749710465, 16 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

156 William St
RM 303
New York, NY 10038-5307
Phone (855) 487-8497

733 Sunrise Hwy
Lynbrook, NY 11563-2921
Phone (516) 734-8500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F337752NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Mar 1, 2018 Accepting new patients
Advantagecare Physicians PC CurrentSince Mar 1, 2018 Accepting new patients
Circle Medical Care of New York PC CurrentSince Jan 2, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 4, 2023 Accepting new patients
Monte Nussbaum MD PC Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

733 Sunrise Hwy
Lynbrook, NY 11563
Phone (516) 593-3535

733 Sunrise Hwy
Fl 1
Lynbrook, NY 11563
Phone (516) 593-3535

300 Community Dr
Manhasset, NY 11030

1991 Marcus Ave
Fl 2
New Hyde Park, NY 11042
Phone (516) 354-1600

156 William St
Rm 303
New York, NY 10038
Phone (813) 955-6329

55 Water St
Fl 2
New York, NY 10041

1991 Marcus Ave
#2
North New Hyde Park, NY 11042
Phone (516) 354-1600

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: prasijamanoj@nslijmedgr.allscriptsdirect.net

Organizations & group practices 7

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1811324072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE, 2ND FLOOR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-354-1600",
            "fax_number": "516-941-4677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Merrick RD",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "11563",
            "country_code": "US",
            "telephone_number": "516-593-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Merrick RD",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "11563",
            "country_code": "US",
            "telephone_number": "516-593-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOJ",
        "first_name": "PRASIJA",
        "credential": "DNP FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.