MR. MATTHEW MANCINI (NPI# 1255880126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255880126 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW MANCINI |
| Credential | PA-C |
| Practice Address |
12 W 48th St Fl 2 New York NY 10036-1801 |
| Mailing Address |
129 W 29th St Fl 10 New York NY 10001-5105 |
| Practice Telephone | 2123217004 |
| Practice Fax Number | 2128674353 |
| Mailing Telephone | 4156586791 |
| Mailing Fax Number | 4155200904 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 025437 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA031430 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 3698 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 960 Main St, Branford, CT 064053730 | 2034886358 | 2034815327 |
| 2300 M St Nw, Washington, DC 200371434 | 2027413000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649396730 | Matthew Michael Mancini | Physical Therapist | 4511 Rockside Rd, Suite 330, Independence, OH 44131-2199 | 2007-03-21 |
| 1194755454 | Matthew L Mancini | Surgery | 1934 Alcoa Hwy Ste 285, Knoxville, TN 37920-1528 | 2006-07-03 |
| Street Address |
12 W 48TH ST FL 2 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10036-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205045416 | Laura Korin | Family Medicine | 12 W 48th St Fl 2, New York, NY 10036-1801 | 2007-05-22 |
| 1235583444 | Katherine Louer | Nurse Practitioner | 12 W 48th St Fl 2, New York, NY 10036-1801 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272999 | Caroline Edmunds Purdy | Acupuncturist | 19 West 45th Street Suite 501, New York, NY 10036 | 2020-10-09 |
| 1720612724 | Denisa Dyli | Registered Nurse | 305 West 44th Street, New York, NY 10036 | 2020-02-27 |
| 1023651148 | Trang Bui | Pharmacist | 687 9th Avenue, New York, NY 10036 | 2019-10-21 |
| 1306495361 | Desiree Polonis | Social Worker | 19 W. 45th Street, Suite 705, New York, NY 10036 | 2019-09-11 |
| 1902462575 | Darren Louie | Acupuncturist | 19 W 45th Street, Suite 501, New York, NY 10036 | 2019-05-19 |
| 1477019958 | Esoterra Acupuncture PC | Massage Therapist | 19 W 45 St, Ste 501, New York, NY 10036 | 2019-02-20 |
| 1679045009 | Novel Podiatry Pllc | Podiatrist | 28 West 44th Street, Ste 209, New York, NY 10036 | 2018-12-25 |
| 1699245274 | Anne Michelle Dearwater | Physical Therapist | 36 W44th Street Suite 403, New York, NY 10036 | 2018-11-27 |
| 1154805927 | Christine D'urso | Psychologist | 17-19 W. 45th Street, Suite 907, New York, NY 10036 | 2018-09-18 |
| 1861990335 | Therapath Partners, LLC | Clinical Medical Laboratory | 545 W 45th St Fl 7, New York, NY 10036 | 2018-01-30 |
| Find all providers in zip 10036 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.