MR. RICHARD P. MANIACE P.N.P. NPI 1063517787

NPI Information

NPI: 1063517787
Provider Name: MR. RICHARD P. MANIACE, P.N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
900 ELMGROVE ROAD
ROCHESTER, NY
ZIP 14624
Phone: (585) 426-4100
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MR. Richard P. Maniace, P.N.P. is a pediatrics nurse practitioner in Rochester, NY. MR. Richard P. Maniace, P.N.P. NPI is 1063517787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 ELMGROVE ROAD
ROCHESTER, NY
ZIP 14624-236
Phone: (585) 426-4100
Fax: (585) 426-3701

The enumeration date for this NPI number is 9/14/2006 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	F381303	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01725	OTHER	NEW YORK	BLUE SHIELD OF ROCHESTER
2	NP0022	OTHER	NEW YORK	PREFERRED CARE
3	Y028938	OTHER		TRICARE REGION 1
4	02052371	MEDICAID	NEW YORK
5	384749	OTHER	NEW YORK	MVP UPSTATE DHP DOCTORS H
6	4334391	OTHER		AETNA US HEALTHCARE
7	P010164923	OTHER		EXCELLUS BLUE CHOICE
8	RC60164923	OTHER		POMCO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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