MEDICARE: STEVEN JACK MANN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	25MA10953700	NJ
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	305749	NY

General Provider Information

NPI Number	:	1154778256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN JACK MANN MD

Provider Business Mailing Address
First Line	:	626 SHEEPSHEAD BAY RD STE 520
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3606
Country	:	US
Telephone Number	:	929-363-0303
Fax Number	:	929-363-0399

Provider Business Practice Location Address
First Line	:	626 SHEEPSHEAD BAY RD STE 520
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3606
Country	:	US
Telephone Number	:	929-363-0303
Fax Number	:	929-363-0399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2016
Last Update Date	:	01/19/2026

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