Active NPIIndividual provider

Ms. Katie L Mannino, PA

Physician Assistant in Englewood, New Jersey

NPI Number1144999434
Practice location
440 Curry Ave Ste A, Englewood, NJ 07631-1794
Fax
—
Last updated
September 9, 2021

Katie Lynn Mannino is a Physician Assistant based in Englewood, NJ. Katie Lynn Mannino practices in Englewood, NJ and has the professional credentials of PA. The NPI Number for Katie Lynn Mannino is 1144999434 and holds a License No. 25MP00638700 (NJ). The current practice location address for Katie Lynn Mannino is 440 Curry Ave Ste A, Englewood, NJ 07631-1794 and can be reached out via phone at 201-227-1299.

Provider Profile Details

NPI Number
1144999434
Provider Name
Katie Lynn Mannino
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
440 Curry Ave Ste A, Englewood, NJ 07631-1794
Phone Number
201-227-1299
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2021
Last Update Date
September 9, 2021
Certification Date
September 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
440 Curry Ave Ste A
Englewood, NJ 07631-1794
Zip
07631-1794
Phone Number
201-227-1299
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
204 8TH St Apt 3
Hoboken, NJ 07030-4163
City
Hoboken
State
NJ
Zip
07030-4163
Phone Number
732-546-7122

License Information

License Number
25MP00638700
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Katie L Mannino, PA?

The NPI number of Ms. Katie L Mannino, PA is 1144999434. It was assigned on September 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Katie L Mannino, PA?

Ms. Katie L Mannino, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00638700.

Where does Ms. Katie L Mannino, PA practice?

The practice location is 440 Curry Ave Ste A, Englewood, NJ 07631-1794. The office can be reached at 201-227-1299 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144999434 directly on the NPPES registry website.

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