Manjiri Pande, DMD
NPI 1104077643 · General Practice Dentistry · Brentwood, NY
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Manjiri Pande, DMD is a General Practice Dentistry provider in Brentwood, NY (NPI 1104077643).
Provider details
- NPI number
- 1104077643
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 052798-1 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-10-02
- Last updated
- 2008-10-02
Frequently asked questions
- What is Manjiri Pande's NPI number?
- Manjiri Pande's National Provider Identifier (NPI) is 1104077643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Manjiri Pande's specialty?
- Manjiri Pande is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Manjiri Pande located?
- Manjiri Pande's practice location on file with NPPES is 566 Suffolk Ave, Brentwood, NY 11717-4210.
- What is Manjiri Pande's phone number?
- The practice phone number listed in the NPPES registry for Manjiri Pande is (631) 231-5566.
- Does Manjiri Pande accept Medicare?
- Manjiri Pande is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Manjiri Pande's NPI active?
- Yes — Manjiri Pande's NPI (1104077643) is active in the NPPES registry as of the last update on 2008-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.