Manisha Patel

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018000-1 Issued in NY

Practice address

249 W 2ND St
Deer Park, NY 11729-5934

Phone

(347) 453-9560

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

86.69 of 100Reported as group

Quality

75.07

Promoting interoperability

98

Improvement activities

40

Cost

74.48

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mpatel618288@nyumc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brookhaven Heart PLLC

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  • NPI 1639260607

  NY

  Medicare reassignment
• Bimc Faculty Practice

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
  • NPI 1093906828
  NPD (past)
• Bimc Faculty Practice

  • Neurology Physician
  • New York, NY
  • NPI 1891848461
  NPD (past)

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1831596527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W 2ND ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W 2ND ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295934",
            "telephone_number": "347-453-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018000-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Pascale, PA
• Nurshat Jahan Pasha
• Heather Pasmore, RN
• Marie Anne Passaro, OTRL
• Hiral Patel, NP
• Surekha Patel, MSN, ANP-C
• Kenneth Alan Paticoff, DDS
• Pavilion Radiology PC
• Kareena Pawa
• Shannon Payne, OTR

• All providers in Deer Park, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.