SUSAN PETERS MANEZ MSRD
NPI 1326263302
Dietitian, Registered in Middletown, NY

Active since April 16, 2007
390 CRYSTAL RUN RD, SUITE 102, MIDDLETOWN, NY 10941(845) 692-8780(845) 692-3439 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Peters Manez Msrd NPPES

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

SUSAN PETERS MANEZ MSRD (NPI 1326263302) is an individual dietitian, registered in Middletown, New York and active in the NPI registry since April 2007. She is a graduate of New York University Medical College - Nlg (2005).

NPPES Registry Identity

NPI1326263302
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSUSAN PETERS MANEZCredential: MSRD
Location Address390 CRYSTAL RUN RD, SUITE 102Middletown, NY 10941-4050
Mailing Address390 Crystal Run Rd, Suite 102Middletown, NY 10941-4050 · (845) 692-8780 · Fax (845) 692-3439
Fax(845) 692-3439
Sole ProprietorNo
Medical School CMSNew York University Medical College - NlgGraduated 2005
Enumeration DateApril 16, 2007
Last NPPES UpdateJune 11, 2009
✔ NPI 1326263302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
390 CRYSTAL RUN RD, Middletown, NY 10941

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Peters Manez Msrd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608340633
PECOS Enrollment IDI20260701000453

Medicare Billing Reassignment

Medicare enrollment records show Susan Peters Manez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
358 VETERANS MEMORIAL HWY STE 10
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

Clinic/Center (Rehabilitation)
390 CRYSTAL RUN RD, SUIT 105
MIDDLETOWN, NY 10941
Psychologist (Clinical Child & Adolescent)
390 CRYSTAL RUN RD, SUITE 107
MIDDLETOWN, NY 10941
Nurse Practitioner (Family)
390 CRYSTAL RUN RD, SUITE 102
MIDDLETOWN, NY 10941
Pharmacist
390 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Pharmacist
390 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Pharmacist
390 CRYSTAL RUN RD, #111
MIDDLETOWN, NY 10941
Specialist
390 CRYSTAL RUN RD, 104
MIDDLETOWN, NY 10941
Specialist
390 CRYSTAL RUN RD, SUITE 104
MIDDLETOWN, NY 10941

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 Susan Peters Manez's NPI number?

The NPI number for Susan Peters Manez is 1326263302. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Susan Peters Manez located?

Susan Peters Manez practices at 390 Crystal Run Rd Suite 102, Middletown, NY 10941. The listed phone number is (845) 692-8780.

What is Susan Peters Manez's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Susan Peters Manez enrolled in Medicare?

Yes. Susan Peters Manez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Peters Manez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Peters Manez reassigns Medicare benefits to New York Dietetics And Nutrition PLLC (Commack, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Peters Manez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Peters Manez was last updated on June 11, 2009. 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.