Individual provider Active NPI

Monika Mannan

  • Physician Assistant
  • Long Island City, NY
National Provider Identifier
1831806520
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029238 Issued in NY
Practice address
1027 46TH Ave
Long Island City, NY 11101-5245
Phone
(212) 385-3700
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 029238 NY Primary

Addresses

Primary practice location

1027 46TH Ave
Long Island City, NY 11101-5245

Mailing address

4030 73Rd St Apt B12
Woodside, NY 11377-3071
Phone (917) 340-8594

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
I20250728002200 NY Practitioner - Physician Assistant 1951818608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bobby Buka, M.D., P.C.Group PAC ID 0547351140, 140 clinicians

Practice addresses (Care Compare)

152 Broadway
Brooklyn, NY 11211-8767
Phone (212) 385-3700

220 Front St
New York, NY 10038-2033
Phone (212) 385-3700

247 E 28TH St
New York, NY 10016-8508
Phone (212) 385-3700

3531 Long Beach Rd
Oceanside, NY 11572-5700
Phone (212) 385-3700

538 5TH Ave
Brooklyn, NY 11215-1887
Phone (212) 385-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029238NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Buka, M.D., P.C. CurrentSince Dec 4, 2022 Accepting new patients
Out East Medical CurrentSince Jun 15, 2021 Accepting new patients
Derm Specs of PA PLLC CurrentSince Feb 25, 2024 Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Atlas Infectious Disease Practice PLLC Past Accepting new patients

Locations

3179 Steinway St
Astoria, NY 11103

1163 Myrtle Ave
Brooklyn, NY 11206

1027 46th Ave
Long Island City, NY 11101
Phone (718) 964-8589

1027 46th Ave
Fl 1
Long Island City, NY 11101

2121 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (718) 534-8190

1425 2nd Ave
New York, NY 10021

214 Sullivan St
New York, NY 10012

625 10th Ave
New York, NY 10036

3531 Long Beach Rd
Oceanside, NY 11572

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1831806520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 73RD ST APT B12",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773071",
            "telephone_number": "917-340-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 46TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015245",
            "telephone_number": "212-385-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNAN",
        "first_name": "MONIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.