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MANUEL CIFUENTES
NPI 1811548019
Registered Nurse - General Practice in Staten Island, NY

Active since September 28, 2019PECOS Enrolled
646 WILLOWBROOK RD, STATEN ISLAND, NY 10314(786) 608-3233 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, Sep 28, 2019 (2 updates tracked since 2019).

About Manuel Cifuentes NPPES

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

MANUEL CIFUENTES (NPI 1811548019) is an individual general practice provider in Staten Island, New York, licensed in New York (742550-1) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811548019
Entity TypeIndividualMale
Primary Taxonomy163WG0000X
Provider Legal NameMANUEL CIFUENTES
Location Address646 WILLOWBROOK RDStaten Island, NY 10314-6826
Mailing Address646 Willowbrook RdStaten Island, NY 10314-6826 · (786) 608-3233
Phone(786) 608-3233
Sole ProprietorYes
Enumeration DateSeptember 28, 2019
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1811548019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in NY · 742550-1
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 349509 (NY)
646 WILLOWBROOK RD, Staten Island, NY 10314
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel Cifuentes 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 2

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

DR. KAREN DIBONA-SCAMARDELLA DDS
Dentist (General Practice)
646 WILLOWBROOK RD
STATEN ISLAND, NY 10314
Richmond County (718) 698-7500
DR. MARK SCAMARDELLA DDS
Dentist (General Practice)
646 WILLOWBROOK RD
STATEN ISLAND, NY 10314
Richmond County (718) 698-7500

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 Manuel Cifuentes's NPI number?

The NPI number for Manuel Cifuentes is 1811548019. It was assigned to this individual provider in the NPPES registry on September 28, 2019.

Where is Manuel Cifuentes located?

Manuel Cifuentes practices at 646 Willowbrook Rd, Staten Island, NY 10314. The listed phone number is (786) 608-3233.

What is Manuel Cifuentes's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

Is Manuel Cifuentes enrolled in Medicare?

Yes. Manuel Cifuentes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manuel Cifuentes was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.