Manana Bardzimashvili, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

73763201 Issued in NY

Practice address

389 Saint George Rd
Staten Island, NY 10306-1557

Phone

(917) 645-2249

NPI assigned

May 22, 2024

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1891534475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 SAINT GEORGE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061557",
            "telephone_number": "917-645-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 SAINT GEORGE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061557",
            "telephone_number": "917-645-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDZIMASHVILI",
        "first_name": "MANANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "73763201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Barcellos
• Alexandra Barchitta
• Bard Cardiology Associates, PC
• Besa Bardhi, PA
• Joanna T Bardis, CCC, NYS, TSSLD
• Alexander Bareis, MD
• Angela Barger
• Barbara J Barghaan, RPH
• Galina Bargman
• Jianna Barhoum

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

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