MR. RICHARD P. MANIACE (NPI# 1063517787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063517787 |
| Entity Type | Individual |
| Full Name | MR. RICHARD P. MANIACE |
| Credential | P.N.P. |
| Practice Address |
900 Elmgrove Road Rochester NY 14624-6236 |
| Practice Telephone | 5854264100 |
| Practice Fax Number | 5854263701 |
| Mailing Telephone | 5854264100 |
| Mailing Fax Number | 5854263701 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381303 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE SHIELD OF ROCHESTER | 01725 | 01 |
| NY | PREFERRED CARE | NP0022 | 01 |
| TRICARE REGION 1 | Y028938 | 01 | |
| NY | 02052371 | 05 | |
| NY | MVP UPSTATE DHP DOCTORS H | 384749 | 01 |
| AETNA US HEALTHCARE | 4334391 | 01 | |
| EXCELLUS BLUE CHOICE | P010164923 | 01 | |
| POMCO | RC60164923 | 01 |
| Street Address |
900 ELMGROVE ROAD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215214556 | Sharon C Harris | Nurse Practitioner | 900 Elmgrove Road, Rochester, NY 14624-6236 | 2011-11-15 |
| 1306928551 | Theresa A Agostinelli | Nurse Practitioner | 900 Elmgrove Road, Rochester, NY 14624-6236 | 2006-10-19 |
| 1932281185 | Catherine A Goodfellow | Pediatrics | 900 Elmgrove Road, Rochester, NY 14624-6236 | 2006-10-19 |
| 1306943527 | Genesis Pediatrics, LLC | Pediatrics | 900 Elmgrove Road, Rochester, NY 14624-6236 | 2006-09-20 |
| 1568567287 | Jason Edward Wells | Pediatrics | 900 Elmgrove Road, Rochester, NY 14624-6236 | 2006-09-14 |
| 1154426880 | Elizabeth Reardon Walsh | Pediatrics | 900 Elmgrove Road, Rochester, NY 14624-6236 | 2006-09-14 |
| 1467557017 | M Christine Arigo | Pediatrics | 900 Elmgrove Road, Rochester, NY 14624-6236 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126266 | Victoria Mack | Nurse Practitioner | 33 Landing Rd S, Rochester, NY 14610-3161 | 2020-05-21 |
| 1730749847 | Nicholas John Wodo | Nurse Practitioner | 601 Elmwood Ave Box 690, Rochester, NY 14642-0001 | 2019-06-20 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1205076122 | Panorama Pediatric Group, Rllp | Nurse Practitioner | 220 Linden Oaks Ste 200, Rochester, NY 14625-2839 | 2009-03-05 |
| 1932267721 | Amy Beth Realbuto | Nurse Practitioner | 451 E Henrietta Rd, 2nd Floor, Rochester, NY 14620-4629 | 2006-12-05 |
| 1396803169 | Melissa M Ryan | Nurse Practitioner | 601 Elmwood Ave Box 671, Rochester, NY 14642-0001 | 2006-12-05 |
| 1649345984 | Barbra Murante | Nurse Practitioner | 601 Elmwood Ave Rm 4-8123, Rochester, NY 14642-0001 | 2006-11-22 |
| 1730253808 | Paula Barbel | Nurse Practitioner | 451 E Henrietta Rd Fl 2, Rochester, NY 14620-4629 | 2006-11-20 |
| 1942372842 | Nancy Chevalier | Nurse Practitioner | 111 Westfall Road, Room 183, Rochester, NY 14692 | 2006-11-15 |
| 1215012521 | Patricia Ann Mccabe | Nurse Practitioner | 1850 Buffalo Rd, Suite 200 Genesis Pediatrics, Rochester, NY 14624-1502 | 2006-10-26 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on MR. RICHARD P. MANIACE.
| 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.