Ilya Manevich, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA08285400 Issued in NJ

Practice address

1140 Route 72 W
Manahawkin, NJ 08050-2412

Phone

(609) 978-8900

NPI assigned

Dec 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Allied Digestive Health, LLC

  • Gastroenterology Physician
  • West Long Beach, NJ
  • NPI 1265831259

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• New Jersey Healthcare Specialists PC

  • Anesthesiology Physician
  • Hackensack, NJ
  • NPI 1174585780
  Medicare reassignment Care Compare group NPD
• Advanced Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Howell, NJ
  • NPI 1790910487
  NPD (past)
• Atlantic Coast Gastroenterology Associates

  • Gastroenterology Physician
  • Brick, NJ
  • NPI 1679512578
  NPD (past)
• Rutgers Health-RWJ Scleroderma Program

  • Pain Medicine (Anesthesiology) Physician
  • New Brunswick, NJ
  • NPI 1982798922
  NPD (past)

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

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590
  Care Compare affiliation

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1093997975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "SUITE 3100",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-7827",
            "fax_number": "732-235-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502412",
            "telephone_number": "609-978-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEVICH",
        "first_name": "ILYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08285400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "P00644610",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153362",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manahawkin Family Dental P.a.
• Manahawkin Healthcare LP
• Manahawkin Podiatry, LLC
• Manahawkin Vision Inc.
• Cayenne Elizabeth Mandes, LCSW
• Raymond P Mantovani, MD
• John Battista Manzella, C.A., MSTOM, DIPL.OM
• Kimberly Manzella, LAC, MSTOM
• Brianna Stephanie Marchal, BME, MBA
• James Marco, MD

• Anesthesiology Physician in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.