Organization Active NPI

Steven a. Manalan, MD PC

  • Specialist
  • Fitchburg, MA
National Provider Identifier
1306031570
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37254 Issued in MA
Legal business name
STEVEN A. MANALAN, MD PC
Practice address
1480 John Fitch Hwy
Fitchburg, MA 01420-2035
Phone
(978) 345-0343
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Steven Arthur Manalan, MD
Title
President
Phone
(978) 345-0343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 37254 MA Primary

Addresses

Primary practice location

1480 John Fitch Hwy
Fitchburg, MA 01420-2035

Mailing address

1480 John Fitch Hwy
Fitchburg, MA 01420-2035
Phone (978) 345-0343

Other identifiers 1

IdentifierTypeStateIssuer
9730168MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1306031570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202035",
            "telephone_number": "978-345-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 JOHN FITCH HWY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014202035",
            "telephone_number": "978-345-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A. MANALAN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "MANALAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-345-0343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "37254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9730168",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.