Organization Active NPI

Manawan Hub

  • Durable Medical Equipment & Medical Supplies
  • Montgomery Village, MD
National Provider Identifier
1174457725
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 17, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.