Individual provider Active NPI

Margaret Erin Mannellino, NP

  • Otolaryngology Physician
  • Rochester, NY
National Provider Identifier
1902275696
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
F344411-1 Issued in NY
Practice address
60 Greece Center Dr
Rochester, NY 14642-1152
Phone
(585) 723-9100
Fax
(585) 758-1299
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22 673870 NY
Otolaryngology Physician 207Y00000X F344411-1 NY Primary

Addresses

Primary practice location

60 Greece Center Dr
Rochester, NY 14642-1152

Mailing address

601 Elmwood Ave Box 629
Rochester, NY 14642-1152

Other practice location 1

4 Pipers Meadow Trl
Penfield, NY 14526-1152
Phone (585) 269-9542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829004294 NY Practitioner - Nurse Practitioner 7416285366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22 673870NYMDRegistered Nurse
F344411-1NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology Associates Otolaryngology CurrentSince Jul 14, 2019 Accepting new patients
University of Rochester Neurosurgery Group Past Accepting new patients

Locations

60 Greece Center Dr
Rochester, NY 14612
Phone (585) 723-9100

2365 S Clinton Ave
Ste 200
Rochester, NY 14618
Phone (585) 275-0142

601 Elmwood Ave
#629
Rochester, NY 14642
Phone (585) 276-5181

Interoperability endpoints

  • Direct secure messaging: mmannellino122529@direct.urmc.rochester.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1902275696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 629",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146421152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GREECE CENTER DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146421152",
            "telephone_number": "585-723-9100",
            "fax_number": "585-758-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Pipers Meadow Trl",
            "address_purpose": "LOCATION",
            "city": "Penfield",
            "state": "NY",
            "postal_code": "145261152",
            "country_code": "US",
            "telephone_number": "585-269-9542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNELLINO",
        "first_name": "MARGARET",
        "middle_name": "ERIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22 673870",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "F344411-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.