Individual provider Active NPI

Maybelle Maningat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fair Lawn, NJ
National Provider Identifier
1295265346
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00355500 Issued in NJ
Practice address
2-22 Banta PL
Fair Lawn, NJ 07410-3058
Phone
(877) 532-7837
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00355500 NJ Primary

Addresses

Primary practice location

2-22 Banta PL
Fair Lawn, NJ 07410-3058

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200706001859 NJ Practitioner - Podiatry 0244653590 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Be Healthy LLCGroup PAC ID 1951796622, 94 clinicians

Practice addresses (Care Compare)

1455 Broad St
Suite 250
Bloomfield, NJ 07003-3066

150 Tices LN
East Brunswick, NJ 08816-2015
Phone (732) 724-2588

2 -22 Banta PL
Fair Lawn, NJ 07410-3058
Phone (201) 509-8600

765 Route 10
Randolph, NJ 07869-1925
Phone (973) 983-3709

Hospital & facility affiliations

  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00355500NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Union Podiatry LLP Podiatrist CurrentSince Jun 9, 2021 Accepting new patients
Essex Union Podiatry LLP Podiatrist CurrentSince Jun 9, 2021 Accepting new patients
Allaire Foot & Ankle Foot & Ankle Surgery CurrentSince Dec 11, 2020 Accepting new patients
All Be Healthy LLC Podiatrist CurrentSince Sep 5, 2023 Accepting new patients
All Be Healthy LLC Foot & Ankle Surgery CurrentSince Sep 5, 2023 Accepting new patients
Genesis Comp Concussion LLC CurrentSince Apr 27, 2025 Accepting new patients
Tri-State Specialists LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982

2211 Route 88 E
Brick, NJ 08724
Phone (732) 785-8845

376 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 226-2263

150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600

210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322

2399 Highway 34
Bldg A6
Manasquan, NJ 08736
Phone (732) 528-0815

300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282

1600 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 388-2375

765 Route 10
Ste 101
Randolph, NJ 07869
Phone (973) 983-3709

500 Morris Ave
Ste 203
Springfield, NJ 07081
Phone (973) 376-8210

1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446

300 Executive Dr
Ste 110
West Orange, NJ 07052
Phone (908) 588-2311

116 S Euclid Ave
Ste 1
Westfield, NJ 07090
Phone (908) 232-5551

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1295265346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-22 BANTA PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103058",
            "telephone_number": "877-532-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANINGAT",
        "first_name": "MAYBELLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00355500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.