Individual provider Active NPI

Haydee Mancao, NP

  • Nurse Practitioner
  • New Milford, NJ
National Provider Identifier
1962233296
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F312127 Issued in NY
Practice address
414 Hegi Dr
New Milford, NJ 07646-1449
Phone
(917) 981-1131
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F312127 NY Primary

Addresses

Primary practice location

414 Hegi Dr
New Milford, NJ 07646-1449

Mailing address

414 Hegi Dr
New Milford, NJ 07646-1449
Phone (917) 981-1131

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
I20250429003039 NY Practitioner - Nurse Practitioner 0749706091 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F312127NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Feb 24, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Feb 24, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 24, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 24, 2025 Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

Interoperability endpoints

  • Direct secure messaging: haydee.mancao.p1@direct.ezramedical.nextgenshare.com

Organizations & group practices 4

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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1962233296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HEGI DR",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461449",
            "telephone_number": "917-981-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HEGI DR",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461449",
            "telephone_number": "917-981-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCAO",
        "first_name": "HAYDEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F312127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

Verify at the official NPI Registry.