DR. GONZALO ANDRES MANZANO M.D.
NPI 1295047850
Pediatrics - Pediatric Emergency Medicine in Bronx, NY

Active since July 11, 2010PECOS Enrolled
3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 741-2150 Get Directions Write a Review

NPPES record last updated: March 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gonzalo Andres Manzano M.d. NPPES

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

DR. GONZALO ANDRES MANZANO M.D. (NPI 1295047850) is an individual pediatric emergency medicine provider in Bronx, New York, licensed in New York (263140) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295047850
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. GONZALO ANDRES MANZANOCredential: M.D.
Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403
Mailing Address211 Carol AvePelham, NY 10803-1803
Sole ProprietorNo
Enumeration DateJuly 11, 2010
Last NPPES UpdateMarch 1, 2020
NPPES CertifiedMarch 1, 2020
NPI 1295047850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in NY · 263140
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 263140 (NY)
3415 BAINBRIDGE AVE, Bronx, NY 10467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gonzalo Andres Manzano M.d. 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.

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.

Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467

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 Gonzalo Manzano's NPI number?

The NPI number for Gonzalo Manzano is 1295047850. It was assigned to this individual provider in the NPPES registry on July 11, 2010.

Where is Gonzalo Manzano located?

Gonzalo Manzano practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 741-2150.

What is Gonzalo Manzano's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Gonzalo Manzano enrolled in Medicare?

Yes. Gonzalo Manzano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gonzalo Manzano was last updated on March 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.