Active NPI
Manawan Hub
- Durable Medical Equipment & Medical Supplies
- Montgomery Village, MD
National Provider Identifier
1174457725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MANAWAN HUB
- Practice address
- 19634 Club House Rd Ste 310
Montgomery Village, MD 20886-3003 - Phone
- (201) 263-1771
- NPI assigned
- Jun 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Humna Imtiaz
- Title
- Sole MBR
- Phone
- (201) 263-1771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
19634 Club House Rd Ste 310
Montgomery Village, MD 20886-3003
Mailing address
19634 Club House Rd Ste 310
Montgomery Village, MD 20886-3003
Phone (201) 263-1771
National Provider Directory
National Provider DirectoryLocations
19634 Club House Rd
Ste 310
Montgomery Village, MD 20886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1174457725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19634 CLUB HOUSE RD STE 310",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208863003",
"telephone_number": "201-263-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19634 CLUB HOUSE RD STE 310",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208863003",
"telephone_number": "201-263-1771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAWAN HUB",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-10",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "IMTIAZ",
"authorized_official_first_name": "HUMNA",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "201-263-1771"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery Village, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.