Joseph Ira Mann, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

106991 Issued in NY

Practice address

2101 Lac de Ville Blvd
Rochester, NY 14618-5643

Phone

(585) 546-3265

Fax

(585) 232-5158

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1841288636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185643",
            "telephone_number": "585-546-3265",
            "fax_number": "585-232-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185643",
            "telephone_number": "585-546-3265",
            "fax_number": "585-232-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JOSEPH",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "106991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00447998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Joseph Manley, RPA-C
• Robin Manley
• Jody Todd Manly, PH.D.
• John Basil Manly, PH.D.
• Carrie Mann, CRNA
• Abdul Mannan, DO
• Melissa Mannara
• Kathleen Anne Mannava, M.D.
• Sandeep Mannava, MD, PHD
• Margaret Erin Mannellino, NP

• Neurology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.