Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Patricia K Manna

Individual provider Nurse Practitioner · NPI 1497375620

Patricia K Manna is a Nurse Practitioner in Stony Brook, New York. Qualified in 2019, 7 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 689-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Pine Pl, Lindenhurst, NY 11757-6320 — (516) 508-1368

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 309272 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 309272 (NY)

Record details

NPI number1497375620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESFebruary 6, 2021
Certification dateFebruary 6, 2021
Mailing addressPo Box 1559, Stony Brook, NY 11790-0989

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook