NPIMap

Individual provider Active NPI

Lillie Manon

  • Certified Registered Nurse Anesthetist
  • Jersey City, NJ
National Provider Identifier
1255718128
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6117 Issued in CT
Practice address
82 Tuers Ave Apt 2
Jersey City, NJ 07306-3258
Phone
(610) 761-1511
NPI assigned
Apr 29, 2015
Last updated
Jan 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 6117 CT Primary
Registered Nurse 163W00000X 125771 CT

Addresses

Primary practice location

82 Tuers Ave Apt 2
Jersey City, NJ 07306-3258

Mailing address

82 Tuers Ave Apt 2
Jersey City, NJ 07306-3258
Phone (610) 761-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714001091 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638476443 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of North America PCGroup PAC ID 1658698824, 49 clinicians
Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians

Practice addresses (Care Compare)

2310 Highland Ave
Bethlehem, PA 18020-8920
Phone (610) 861-8080

2752 Century Blvd
Wyomissing, PA 19610-3345
Phone (610) 378-8807

820 Town Ctr Dr
Langhorne, PA 19047-1785
Phone (844) 448-5872

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
125771CTMDRegistered Nurse
6117CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
GSC Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
WCS Sedation, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2022 Accepting new patients
Ultracare Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2023 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Sep 15, 2021 Accepting new patients
Associates in Anesthesia, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Professional Anesthesia Services of North America P.C. Nurse Anesthetist, Certified Registered CurrentSince Dec 24, 2025 Accepting new patients
Associates in Anesthesia Past Accepting new patients

Locations

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

820 Town Center Dr
Langhorne, PA 19047
Phone (215) 757-1680

2000 Grant Ave
Ste 101
Philadelphia, PA 19115
Phone (215) 990-6002

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

915 Old Fern Hill Rd
Ste 300
West Chester, PA 19380
Phone 61043131221600

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1255718128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TUERS AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063258",
            "telephone_number": "610-761-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TUERS AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063258",
            "telephone_number": "610-761-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANON",
        "first_name": "LILLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "6117",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "125771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.