MANJIRI PANDE DMD
NPI 1104077643
Dentist - General Practice in Brentwood, NY

Q: What is Manjiri Pande's NPI number?

The NPI number for Manjiri Pande is 1104077643. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Q: What is Manjiri Pande's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Manjiri Pande was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 02, 2008PECOS Enrolled

566 SUFFOLK AVE, BRENTWOOD, NY 11717(631) 231-5566 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Manjiri Pande Dmd NPPES

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

MANJIRI PANDE DMD (NPI 1104077643) is an individual general practice provider in Brentwood, New York, licensed in New York (052798-1) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104077643

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMANJIRI PANDECredential: DMD

Location Address566 SUFFOLK AVEBrentwood, NY 11717-4210

Mailing Address207 Loring RdLevittown, NY 11756-1057 · (516) 749-5511

Phone(631) 231-5566

Sole ProprietorYes

Enumeration DateOctober 2, 2008

✔ NPI 1104077643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 052798-1

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

566 SUFFOLK AVE, Brentwood, NY 11717

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manjiri Pande Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNA SONG D.D.S.

Dentist (General Practice)

566 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 813-2008

MR. YOUNG HOON CHUNG DMD

Dentist

566 SUFFOLK AVE, SUITE 3
BRENTWOOD, NY 11717

Suffolk County (631) 813-2008

HYUNNA SONG DMD, P.C.

Dentist (Orthodontics and Dentofacial Orthopedics)

566 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 813-2008

DR. MANILAL I PATEL DDS

Dentist (General Practice)

566 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-5566

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 Manjiri Pande's NPI number?

The NPI number for Manjiri Pande is 1104077643. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Manjiri Pande located?

Manjiri Pande practices at 566 Suffolk Ave, Brentwood, NY 11717. The listed phone number is (631) 231-5566.

What is Manjiri Pande's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Manjiri Pande enrolled in Medicare?

Yes. Manjiri Pande is registered in the Medicare PECOS enrollment system.

What insurance does Manjiri Pande accept?

Health plans from Humana list Manjiri Pande as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Manjiri Pande was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.