Manzella Family Healthcare PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANZELLA FAMILY HEALTHCARE PC

Practice address

1353 State Route 903
Jim Thorpe, PA 18229-2734

Phone

(570) 325-8393

Fax

(570) 325-8029

NPI assigned

Dec 22, 2005

Last updated

Apr 4, 2013By 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

Victor A Manzella, MDNPI 1205810876

Title

Owner

Phone

(570) 325-8393

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15381/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Victor A Manzella, MD

  • Internal Medicine Physician
  • Jim Thorpe, PA
  • NPI 1205810876
  Authorized official Same address or phone

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1053398826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 STATE ROUTE 903",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182292734",
            "telephone_number": "570-325-8393",
            "fax_number": "570-325-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 STATE ROUTE 903",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182292734",
            "telephone_number": "570-325-8393",
            "fax_number": "570-325-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZELLA FAMILY HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MANZELLA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-325-8393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50056259",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "1753980",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Kenneth Kravchick, LCSW
• Lehigh Valley Physician Group (Manzella Family Healthcare)
• Amy Levinson, LMT LE
• Livewell Empowerment LLC
• Rachel Marie Lucki, LCSW
• Edward D Manzella, MD
• John R Manzella Jr., DO
• Victor A Manzella, MD
• Robin McGeehan, M.A. CCC/SLP/L
• Clement Charles McGinley, M. D.

• Internal Medicine Physician in Jim Thorpe, PA
• Providers in Jim Thorpe, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.