Organization Active NPI

Manas NP-Psychiatry P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1811764293
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MANAS NP-PSYCHIATRY P.C.
Practice address
500 Old Country Rd
Garden City, NY 11530-1901
Phone
(516) 424-8387
Fax
(844) 341-2531
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dr. Nisha Pradeep, DNPNPI 1023455995
Title
NP
Phone
(516) 424-8387

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

500 Old Country Rd
Garden City, NY 11530-1901

Mailing address

89 Central Ave
New Hyde Park, NY 11040-4134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723001270 NY Part B Supplier - Clinic/Group Practice 9537605803 Receives reassigned benefits from 2 practitioners
Practice locations: Garden City, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1811764293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CENTRAL AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301901",
            "telephone_number": "516-424-8387",
            "fax_number": "844-341-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAS NP-PSYCHIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "PRADEEP",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "516-424-8387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.