Active NPI
Roni Hadas Manyevitch, MD
- Urology Physician
- Glens Falls, NY
National Provider Identifier
1952988149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 345243
- Practice address
- 14 Hudson Ave
Surgical Specialists of Glens Falls Hospital
Glens Falls, NY 12801 - Phone
- (518) 926-5600
- Fax
- (518) 926-5605
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 345243 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
14 Hudson Ave
Surgical Specialists of Glens Falls Hospital
Glens Falls, NY 12801
Mailing address
100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801-4413
Phone (518) 926-6992
Other practice location 1
100 Park Street
Glens Falls Hospital
Glens Falls, NY 12801
Phone (518) 926-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rmanyevitch26915@albanymed.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1952988149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK STREET",
"address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014413",
"telephone_number": "518-926-6992",
"fax_number": "518-926-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 HUDSON AVE",
"address_2": "SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-926-5600",
"fax_number": "518-926-5605"
}
],
"practiceLocations": [
{
"address_1": "100 Park Street",
"address_2": "Glens Falls Hospital",
"address_purpose": "LOCATION",
"city": "Glens Falls",
"state": "NY",
"postal_code": "12801",
"country_code": "US",
"telephone_number": "518-926-5600",
"fax_number": "518-926-5605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANYEVITCH",
"first_name": "RONI",
"middle_name": "HADAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "345243",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.