ANIKA MANNAN
NPI 1205709730
Physician Assistant - Medical in Bronx, NY

Active since September 29, 2025PECOS EnrolledAccepts Medicare Assignment
1200 WATERS PL, BRONX, NY 10461(719) 631-2407 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anika Mannan NPPES

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

ANIKA MANNAN (NPI 1205709730) is an individual medical provider in Bronx, New York and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205709730
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANIKA MANNAN
Location Address1200 WATERS PLBronx, NY 10461-2728
Mailing Address1200 Waters PlBronx, NY 10461-2728 · (719) 631-2407
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1205709730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1200 WATERS PL, Bronx, NY 10461

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anika Mannan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527533660
PECOS Enrollment IDI20260407001548
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.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
1200 WATERS PL, STE M108
BRONX, NY 10461
Physician Assistant
1200 WATERS PL
BRONX, NY 10461
Nurse Practitioner (Family)
1200 WATERS PL, M-104
BRONX, NY 10461
Physician Assistant
1200 WATERS PL
BRONX, NY 10461
Clinic/Center (Ambulatory Surgical)
1200 WATERS PL, SUITE 106
BRONX, NY 10461
Physician Assistant
1200 WATERS PL
BRONX, NY 10461
Radiology (Diagnostic Radiology)
1200 WATERS PL, SUITE M-108
BRONX, NY 10461
Physician Assistant
1200 WATERS PL
BRONX, NY 10461

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 Anika Mannan's NPI number?

The NPI number for Anika Mannan is 1205709730. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Anika Mannan located?

Anika Mannan practices at 1200 Waters Pl, Bronx, NY 10461. The listed phone number is (719) 631-2407.

What is Anika Mannan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Anika Mannan enrolled in Medicare?

Yes. Anika Mannan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anika Mannan was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.