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

Stephanie David Mancini, PA-C, ATC

Individual provider Athletic Trainer · NPI 1174178032

Stephanie David Mancini, PA-C, ATC is a Physician Assistant in New London, Connecticut. Qualified in 2023, 3 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
3
Licensed in
CT, NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

365 Montauk Ave
New London, CT 06320-4769
Phone: (860) 271-4655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6371 (CT)
Athletic Trainer Taxonomy 2255A2300X · Licence 003031-1 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 001582 (CT)

Record details

NPI number1174178032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New London