JOHN PAUL MANNINO NP NPI 1487262374

NPI Information

  • NPI: 1487262374
  • Provider Name: JOHN PAUL MANNINO, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 ALBANY STREET
    SHAPIRO 7, SUITE B
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 638-8456

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NPI Details

John Paul Mannino, NP is an acute care nurse practitioner in Boston, MA with 5 years of experience. John Paul Mannino, NP NPI is 1487262374. 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:

725 ALBANY STREET
SHAPIRO 7, SUITE B
BOSTON, MA
ZIP 02118
Phone: (617) 638-8456
Fax: (617) 638-8465

The NPI 1487262374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2020 and was last updated on 11/1/2021.

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
1363L00000XNurse PractitionerRN2288385MASSACHUSETTSNo
2363LA2100XNurse PractitionerAcute CareRN2288385MASSACHUSETTSYes

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: 3/30/2025

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