Jamie Manning

Public-record details

Address

1056 5th Ave, New York, NY 10028

Phone

(917) 757-8747

Listed under

Individual clinicians, Telehealth (Medicare claims)

NPI

1578919858

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Dermatology (207N00000X)

License number on NPI record

304669 (NY)

NPI first issued

May 5, 2016

Years since NPI first issued

10 years (since 2016)

License state on NPI record

NY

NPI record last updated

Dec 13, 2022

Medicare enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians

Medicare assignment (CMS)

May accept Medicare assignment (case by case)

Telehealth (CMS)

Medicare claims show telehealth services

Professional school graduation (CMS)

2016 (10 years ago)

Medicare group practice (CMS)

Montefiore Medical Center (2,820 clinicians); Debra J. Wattenberg, M.d.,p.c (2 clinicians)

Practice locations on file with Medicare (CMS)

2

NPI 1578919858 is active in the federal NPPES registry (CMS) with Dermatology as its self-reported primary taxonomy; license 304669 (NY) is listed on the record. CMS Doctors & Clinicians lists this clinician as enrolled in Medicare. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Dermatologist Index does not vet, employ, recommend or guarantee dermatology practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Dermatologist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. A registered specialty is not board certification. To check board certification, use the American Board of Dermatology's verification tool (or the American Osteopathic Board of Dermatology for DOs), and confirm the medical license with the state board.

View NPI 1578919858 in the official registry ↗