Norina A Manassy, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA002231L Issued in PA

Practice address

543 Easton Tpke Ste 105
Lake Ariel, PA 18436-4798

Phone

(570) 689-9965

Fax

(570) 689-0387

NPI assigned

Apr 4, 2007

Last updated

Aug 16, 2024By the provider in NPPES

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1942322789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 EASTON TPKE STE 105",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364798",
            "telephone_number": "570-689-9965",
            "fax_number": "570-689-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 EASTON TPKE STE 105",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364798",
            "telephone_number": "570-689-9965",
            "fax_number": "570-689-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASSY",
        "first_name": "NORINA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002231L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maternal & Family Health Services Inc
• Erin Mattox
• Kerri Mazur
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• Medical Physician Assistant in Lake Ariel, PA
• Providers in Lake Ariel, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.