Jack M Mancus MD PC
Jack M Mancus MD PC is a healthcare organization registered as Internal Medicine Physician in Rhinebeck, NY, holding Type 2 (organization) NPI 1700053139 since 2008. The authorized official on file is Jack Mancus, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700053139 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jack M Mancus MD PC |
| Practice address | 37 MILES WOOD RD, Rhinebeck, NY, 12572 |
| Phone | 8452422630 |
| Fax | 8458762844 |
| Enumeration date | 2008-05-14 |
| Last updated in NPPES | 2023-09-21 |
Authorized official
| Name | Jack Mancus |
|---|---|
| Title | President |
| Phone | 8452422630 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | 1440301 | NY |
Copy-ready billing details
Provider: Jack M Mancus MD PC NPI: 1700053139 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 37 MILES WOOD RD, Rhinebeck, NY, 12572
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164568911 | Jack Mancus | Individual | Internal Medicine Physician | Rhinebeck, NY |
Verify this record
Cross-check NPI 1700053139 against the authoritative CMS record: view Jack M Mancus MD PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Jack M Mancus MD PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-21.