Organization Active NPI

Endocrine Associate of West Village PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Long Island City, NY
National Provider Identifier
1992007819
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINE ASSOCIATE OF WEST VILLAGE PC
Practice address
3636 33Rd St Ste 311
Long Island City, NY 11106-2329
Phone
(718) 704-5376
Fax
(347) 507-0478
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Anastassios Manessis, MD
Title
Owner
Phone
(917) 755-2007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3636 33Rd St Ste 311
Long Island City, NY 11106-2329

Mailing address

3636 33Rd St Ste 311
Long Island City, NY 11106-2329
Phone (718) 704-5376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110428000441 NY Part B Supplier - Clinic/Group Practice 7113102591 Receives reassigned benefits from 18 practitioners
Practice locations: Astoria, NY; New York, NY; Long Island City, NY; Bronx, NY
O20220516001891 NY DME Supplier - Physician - General Practice 7113102591 Practice locations: Long Island City, NY

National Provider Directory

National Provider Directory

Locations

3074 31st St
Fl 1
Astoria, NY 11102

3016 30th Ave
Astoria, NY 11102
Phone (718) 204-7832

2825 3rd Ave
Ste 2
Bronx, NY 10455
Phone (212) 675-9332

3636 33rd St
Ste 311
Long Island City, NY 11106
Phone (212) 604-9800

275 7th Ave
Fl 2
New York, NY 10001
Phone (212) 675-9332

120 E 16th St
Fl 6
New York, NY 10003
Phone (212) 844-8611

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1992007819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 311",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "718-704-5376",
            "fax_number": "347-507-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 311",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "718-704-5376",
            "fax_number": "347-507-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE ASSOCIATE OF WEST VILLAGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "MANESSIS",
        "authorized_official_first_name": "ANASTASSIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-755-2007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.