Stephan Manucharian, CP, BOCO, FAAOP

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

141 Atlantic Ave
Brooklyn, NY 11201-6796

Phone

(718) 858-2400

Fax

(718) 858-9258

NPI assigned

Sep 20, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic Arts Laboratory, Inc

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1629006549

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1891197968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016796",
            "telephone_number": "718-858-2400",
            "fax_number": "718-858-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016796",
            "telephone_number": "718-858-2400",
            "fax_number": "718-858-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUCHARIAN",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "CP, BOCO, FAAOP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Mantelman
• Kristen Denise Manter, MD
• Amulang Eduardovna Mantsynov
• Argirios Mantzoukas
• Manual Therapy Center
• Eddy Manuchian, M.D.
• Destiny Manuel
• Jessica B Manuel, MA
• Martin Louis Manuel, PT
• Theresa Manuel

• Prosthetist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Prosthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.