Individual provider Active NPI

Jennifer Manzo, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1003367509
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00677800 Issued in NJ
Practice address
1251 Rte 37 W
Toms River, NJ 08755-5050
Phone
(732) 797-3824
Fax
(732) 797-3812
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00677800 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00677800 NJ Primary

Addresses

Primary practice location

1251 Rte 37 W
Toms River, NJ 08755-5050

Mailing address

94 Stevens Rd
Children'S Specialized Hospital
Toms River, NJ 08755-1490

Other practice location 1

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone (201) 822-1161

Other identifiers 1

IdentifierTypeStateIssuer
0544825MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206001309 NJ Practitioner - Nurse Practitioner 9537442140 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Specialized Hospital CurrentSince Dec 10, 2016 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Nov 15, 2017 Accepting new patients
Children' Specialized Hospital CurrentSince Dec 10, 2016 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Nov 15, 2017 Accepting new patients
Rwjbh Primary Care Services Past Accepting new patients
Barnabas Health Medical Group, PC Past Accepting new patients
Childrens Specialized Hospital Past Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

150 New Providence Rd
Mountainside, NJ 07092

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1251 Route 37 W
Toms River, NJ 08755
Phone (551) 347-1176

94 Stevens Rd
Toms River, NJ 08755
Phone (732) 286-5005

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

165 Sunset Ave
Toms River, NJ 08755

36 Washington St
Ste 1
Toms River, NJ 08753
Phone (201) 942-5099

Interoperability endpoints

  • Direct secure messaging: jennifer.manzo@immcarenj.directbygreenway.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1003367509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 STEVENS RD",
            "address_2": "CHILDREN'S SPECIALIZED HOSPITAL",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555050",
            "telephone_number": "732-797-3824",
            "fax_number": "732-797-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Broad St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071024537",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZO",
        "first_name": "JENNIFER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00677800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00677800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0544825",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.