NPIMap

Organization Active NPI

Manisha Panwala LLC

  • Metabolic Nutrition Registered Dietitian
  • Tenafly, NJ
National Provider Identifier
1144656869
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
933723 Issued in NJ
Legal business name
MANISHA PANWALA LLC
Doing business as
Manisha Panwala LLC
Practice address
18 Engle St Apt 6U
Tenafly, NJ 07670-2826
Phone
(917) 415-0504
NPI assigned
Sep 26, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Ms. Manisha Panwala, RDNPI 1912295619
Title
Registered Dietitian
Phone
(917) 415-0504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 933723 NJ Primary

Addresses

Primary practice location

18 Engle St Apt 6U
Tenafly, NJ 07670-2826

Mailing address

18 Engle St Apt 6U
Tenafly, NJ 07670-2826
Phone (917) 415-0504

Other names 1

  • Manisha Panwala LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1144656869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ENGLE ST APT 6U",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702826",
            "telephone_number": "917-415-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENGLE ST APT 6U",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702826",
            "telephone_number": "917-415-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISHA PANWALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "PANWALA",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "917-415-0504",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NJ",
            "license": "933723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manisha Panwala LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.