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POORNIMA MANIKANTAN
NPI 1891373478
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 01, 2021PECOS Enrolled
101 NICOLLS RD RM 20, STONY BROOK, NY 11794(631) 444-7411(631) 444-2493 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poornima Manikantan NPPES

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

POORNIMA MANIKANTAN (NPI 1891373478) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1891373478
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePOORNIMA MANIKANTAN
Location Address101 NICOLLS RD RM 20Stony Brook, NY 11794-0001
Mailing Address101 Nicolls Rd Rm 20Stony Brook, NY 11794-0001 · (631) 444-7411 · Fax (631) 444-2493
Phone(631) 444-7411
Fax(631) 444-2493
Sole ProprietorNo
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1891373478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS RD RM 20, Stony Brook, NY 11794
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Secondary Practice Location 1

Location 1101 Nicholls Road Health Science Center T16, Room 020Stony Brook, NY 11794-0001 · Phone (631) 444-7411 · Fax (631) 444-2493

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poornima Manikantan 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.

JULIA XAVIER MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 20
STONY BROOK, NY 11794
Suffolk County (631) 469-1362
TIFFANI-AMBER MILLER
Obstetrics & Gynecology (Gynecology)
101 NICOLLS RD RM 20
STONY BROOK, NY 11794
Suffolk County (631) 689-8333
CECILIA NORTH MASTROGIACOMO
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 20
STONY BROOK, NY 11794
Suffolk County (631) 444-2739
TAE MIN LEE
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 20
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
JANEY JAMES
Internal Medicine
101 NICOLLS RD RM 20
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
LESLIE ANNE CAPARAS UMALI PA
Physician Assistant
101 NICOLLS RD RM 20
STONY BROOK, NY 11794
Suffolk County (631) 444-2034
SAMEEN BELAL DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 20
STONY BROOK, NY 11794
Suffolk County (631) 444-3005
DR. GIAYNEL PAULETTE DONATELLI MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 20
STONY BROOK, NY 11794
Suffolk County (631) 444-2990

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 Poornima Manikantan's NPI number?

The NPI number for Poornima Manikantan is 1891373478. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Poornima Manikantan located?

Poornima Manikantan practices at 101 Nicolls Rd Rm 20, Stony Brook, NY 11794. The listed phone number is (631) 444-7411.

What is Poornima Manikantan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Poornima Manikantan enrolled in Medicare?

Yes. Poornima Manikantan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Poornima Manikantan was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.