NPIMap

Individual provider Active NPI

Neel Mann, MD

  • Nephrology Physician
  • Amityville, NY
National Provider Identifier
1881652923
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
241885 Issued in NY
Practice address
333 Broadway
Amityville, NY 11701-2719
Phone
(631) 789-2020
Fax
(631) 789-5669
NPI assigned
May 1, 2006
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 241885 NY Primary

Addresses

Primary practice location

333 Broadway
Amityville, NY 11701-2719

Mailing address

1500 Route 112 BLDG 4
Suite101
Port Jefferson Station, NY 11776
Phone (631) 751-3000

Other identifiers 2

IdentifierTypeStateIssuer
000000129615OtherNYGHI HMO
0378572OtherNYGHI PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070402000061 NY Practitioner - NephrologyPractitioner - Internal Medicine 9739074154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Emory University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 439-0655

7 Evelyn Rd
Plainview, NY 11803-4804
Phone (631) 271-9151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.22 of 100Reported as individual
Quality
52.35
Improvement activities
40
Cost
75.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
241885NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Medical Practice PC Nephrology CurrentSince Feb 12, 2007 Accepting new patients
Joshua a Falk, D.O., P.C. Past Accepting new patients
Dallas Nephrology Associates Nephrology PastSince Nov 22, 2016 Accepting new patients
Wsnchs North, Inc. Past Accepting new patients
Dallas Nephrology Associates Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1881652923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 BLDG 4",
            "address_2": "SUITE101",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-751-3000",
            "fax_number": "631-509-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012719",
            "telephone_number": "631-789-2020",
            "fax_number": "631-789-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "NEEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "241885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000129615",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0378572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.