Organization Active NPI

Manoj Trehan Medical PC

  • Infectious Disease Physician
  • Glen Head, NY
National Provider Identifier
1841463338
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
236699-1 Issued in NY
Legal business name
MANOJ TREHAN MEDICAL PC
Practice address
9 Bridle Path CT
Glen Head, NY 11545-3304
Phone
(516) 308-3238
Fax
(516) 342-5716
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Manoj Trehan, MDNPI 1184657959
Title
President
Phone
(516) 308-3238

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 236699-1 NY Primary

Addresses

Primary practice location

9 Bridle Path CT
Glen Head, NY 11545-3304

Mailing address

9 Bridle Path CT
Glen Head, NY 11545-3304
Phone (516) 308-3238

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080423000679 NY Part B Supplier - Clinic/Group Practice 2466530928 Receives reassigned benefits from 3 practitioners
Practice locations: Sayville, NY; Smithtown, NY; Patchogue, NY; Oakdale, NY; Flushing, NY; East Patchogue, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1841463338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BRIDLE PATH CT",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453304",
            "telephone_number": "516-308-3238",
            "fax_number": "516-342-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BRIDLE PATH CT",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453304",
            "telephone_number": "516-308-3238",
            "fax_number": "516-342-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOJ TREHAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "TREHAN",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-308-3238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "236699-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.