Individual provider Active NPI

Christopher Manetta, D.O.

  • Psychiatry Physician
  • Haddon Heights, NJ
National Provider Identifier
1003084195
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS019785 Issued in PA
Practice address
217 Black Horse Pike
Haddon Heights, NJ 08035-1009
Phone
(888) 982-8594
Fax
(888) 920-1525
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 304398-01 NY
Psychiatry Physician 2084P0800X OS019785 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 25MB10752900 NJ

Addresses

Primary practice location

217 Black Horse Pike
Haddon Heights, NJ 08035-1009

Mailing address

PO Box 159
Barrington, NJ 08007-0159
Phone (888) 982-8594

Other practice location 1

114 Thrush Dr
Roswell, GA 30075-1142
Phone (888) 982-8594

Other practice location 2

410 N Krocks Rd
Allentown, PA 18106-9283
Phone (888) 982-8594

Other practice location 3

150 Sunnyside Blvd
Plainview, NY 11803-1504
Phone (888) 982-8594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA, NJ, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190611000010 PA Practitioner - Psychiatry 6709190457 Reassigns benefits to 1 organization
I20200415002960 GA Practitioner - Psychiatry 6709190457 Reassigns benefits to 1 organization
I20210218000106 NJ Practitioner - Psychiatry 6709190457 Reassigns benefits to 1 organization
I20221130001694 NY Practitioner - Psychiatry 6709190457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians

Practice addresses (Care Compare)

200 Broadhollow Rd
Suite 207
Melville, NY 11747-4806
Phone (888) 982-8594

217 Black Horse Pike
Haddon Heights, NJ 08035-1009
Phone (888) 982-8594

410 N Krocks Rd
Allentown, PA 18106-9283
Phone (888) 982-8594

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10752900NJMDPsychiatry Physician
304398-01NYMDPsychiatry Physician
OS019785PAMDPsychiatry Physician
304398NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Telehealth, LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

41 E Kings Hwy
Fl 1
Audubon, NJ 08106

217 Black Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 885-3578

1000 Crawford Pl
Mount Laurel, NJ 08054
Phone (856) 448-5130

200 Broadhollow Rd
Ste 207
Melville, NY 11747
Phone (516) 906-4970

150 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 576-3330

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1003084195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080070159",
            "telephone_number": "888-982-8594",
            "fax_number": "888-982-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BLACK HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351009",
            "telephone_number": "888-982-8594",
            "fax_number": "888-920-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Thrush Dr",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300751142",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Krocks Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181069283",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Sunnyside Blvd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118031504",
            "country_code": "US",
            "telephone_number": "888-982-8594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANETTA",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "304398-01",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS019785",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB10752900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.