Active NPI
Vinita Manoraj, MD
- Internal Medicine Physician
- Hackensack, NJ
National Provider Identifier
1295781664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07443100
- Practice address
- 30 Prospect Ave
Faculty Practice Office
Hackensack, NJ 07601-1914 - Phone
- (201) 441-3349
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07443100 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Faculty Practice Office
Hackensack, NJ 07601-1914
Mailing address
48 Veterans Dr
South River, NJ 08882-2613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008222 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Trauma and Critical Care Associates, PC | Past | Accepting new patients | |
| Hackensack Specialty Care Associates, PC | Past | Accepting new patients | |
| Cogent Healthcare of New Jersey, PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1629304290
-
- Neonatal-Perinatal Medicine Physician
- Hackensack, NJ
- NPI 1528011194
-
- Trauma Surgery Physician
- Hackensack, NJ
- NPI 1558313650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1295781664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 VETERANS DR",
"city": "SOUTH RIVER",
"state": "NJ",
"postal_code": "088822613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"address_2": "FACULTY PRACTICE OFFICE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011914",
"telephone_number": "201-441-3349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANORAJ",
"first_name": "VINITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA07443100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008222",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.