NPIMap

Individual provider Active NPI

George Manja, M.D.

  • Internal Medicine Physician
  • Nazareth, PA
National Provider Identifier
1346242773
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD058653L Issued in PA
Practice address
430 Nazareth Pike
Nazareth, PA 18064
Phone
(610) 365-2300
Fax
(610) 365-8363
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD058653L PA Primary

Addresses

Primary practice location

430 Nazareth Pike
Nazareth, PA 18064

Mailing address

430 Nazareth Pike
Nazareth, PA 18064-9615
Phone (610) 365-2300

Other identifiers 2

IdentifierTypeStateIssuer
885135OtherPAHIGHMARK BS OF PA
0016155750004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000173 PA Practitioner - Internal Medicine 4981708765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

430 Nazareth Pike
Northstar Urgent Care
Nazareth, PA 18064-9615
Phone (610) 365-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD058653LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George Manja LLC CurrentSince Jan 23, 2010 Accepting new patients
George Manja LLC Internal Medicine Current Accepting new patients
Robbins Rehabilitation PastSince Jan 23, 2010 Accepting new patients
Two Rivers Hospital Corporation Past Accepting new patients

Locations

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

430 Nazareth Pike
Nazareth, PA 18064
Phone (610) 365-2300

Organizations & group practices 4

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1346242773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NAZARETH PIKE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649615",
            "telephone_number": "610-365-2300",
            "fax_number": "610-265-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NAZARETH PIKE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "18064",
            "telephone_number": "610-365-2300",
            "fax_number": "610-365-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJA",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD058653L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS OF PA",
            "identifier": "885135",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016155750004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

Verify at the official NPI Registry.