MARK MANZO
NPI 1003042441
Physician Assistant in Worcester, MA

Active since May 29, 2009
210 PARK AVE STE 163, WORCESTER, MA 01609(508) 752-0843 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Manzo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK MANZO (NPI 1003042441) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA3715) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1003042441
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK MANZO
Location Address210 PARK AVE STE 163Worcester, MA 01609-2246
Mailing Address210 Park Ave Ste 163Worcester, MA 01609-2246 · (508) 752-0843
Sole ProprietorYes
Enumeration DateMay 29, 2009
Last NPPES UpdateNovember 20, 2015
NPI 1003042441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA3715
Definition
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.
210 PARK AVE STE 163, Worcester, MA 01609

Other Identifiers 2

Medicare UPINM22276MA
Medicaid9773312MA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Manzo's NPI number?

The NPI number for Mark Manzo is 1003042441. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Where is Mark Manzo located?

Mark Manzo practices at 210 Park Ave Ste 163, Worcester, MA 01609. The listed phone number is (508) 752-0843.

What is Mark Manzo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mark Manzo was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.