Nicholas Manos DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

37862 Issued in NY

Legal business name

NICHOLAS MANOS DDS PC

Practice address

535 Broadway
Massapequa, NY 11758-5006

Phone

(516) 795-4141

Fax

(516) 795-6589

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Manos, DDSNPI 1568682904

Title

President

Phone

(516) 795-4141

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicholas Manos, D.D.S.

  • General Practice Dentistry
  • Massapequa, NY
  • NPI 1568682904
  NPD (past) Authorized official

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1851522403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585006",
            "telephone_number": "516-795-4141",
            "fax_number": "516-795-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585006",
            "telephone_number": "516-795-4141",
            "fax_number": "516-795-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS MANOS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "MANOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-795-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "37862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Dentistry Services PLLC
• New York Dentistry Services PLLC
• New York Vascular Intervention PLLC
• Richard Newman, PT
• Roudeline Nicchi, DO
• Gina Nicolas, NP
• Denise Nilsen
• Tanaiya Nixon
• Noah Goodman LCSW, PLLC
• Noam Glaser, M.D. PC

• All providers in Massapequa, NY
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.