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

Tyler Mannino, PA

Individual provider Physician Assistant · NPI 1487060158

Tyler Mannino, PA is a Physician Assistant in Hewlett, New York. Qualified in 2014, 12 years ago. Practices with Village Medical, PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1512 Broadway
Hewlett, NY 11557-1429
Phone: (516) 374-6838
Fax: (516) 374-2362
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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 017597 (NY)

Record details

NPI number1487060158
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 2, 2014
Last updated in NPPESJuly 2, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Village Medical, P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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