Maneyapanda LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA09694000 Issued in NJ

Legal business name

MANEYAPANDA LLC

Practice address

1135 Clifton Ave
203
Clifton, NJ 07013-3642

Phone

(862) 414-3335

NPI assigned

Oct 8, 2015

Last updated

Dec 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mukundha Belliappa Maneyapanda, M.D.

Title

Owner

Phone

(862) 414-3335

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Pudinak, M.D

  • Family Medicine Physician
  • Clifton, NJ
  • NPI 1952665200
  NPD (past)
• Aleksandr A Ponomarev, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1477726370
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1003287715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HENOCH AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131563",
            "telephone_number": "862-414-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE",
            "address_2": "203",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133642",
            "telephone_number": "862-414-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANEYAPANDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "MANEYAPANDA",
        "authorized_official_first_name": "MUKUNDHA",
        "authorized_official_middle_name": "BELLIAPPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-414-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09694000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent J Malba, D.C.
• Tayyab Malik, MD
• Beau Malimas
• Myleen Mamaril
• Andrew Manansala
• Jesse Mangone
• Ryan Mangubat, P.T.
• Jennifer L Manipon, D.P.T.
• Robert Manley, MPT
• Benjamin Mann

• Family Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.