Kevin Antony Manco

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

E0918754 Issued in MA

Practice address

136 Harrison Ave
Boston, MA 02111-1817

Phone

(781) 990-9953

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1871319061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JOHNSON RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021911109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111817",
            "telephone_number": "781-990-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCO",
        "first_name": "KEVIN",
        "middle_name": "ANTONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MA",
            "license": "E0918754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mancini
• Francesca Rose Mancini
• Karina Mancini, GC
• Lisa Mancini, MS, RD, LDN
• Stephanie Caroline Mancini
• Anna L Mancuso
• Christopher J Mancuso, M.S.
• Thomas J Mancuso, MD
• Ayan Sankar Mandal, MD, PHD
• Soumya Mandava, MD

• Basic Emergency Medical Technician in Boston, MA
• Providers in Boston, MA by specialty
• Basic Emergency Medical Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.