Individual provider Active NPI

Daniel Manske, M.D.

  • Family Medicine Physician
  • Bridgeton, NJ
National Provider Identifier
1356389860
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA062223 Issued in NJ
Practice address
154 W Commerce St
Bridgeton, NJ 08302-1806
Phone
(856) 459-3500
Fax
(856) 459-3600
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA062223 NJ Primary

Addresses

Primary practice location

154 W Commerce St
Bridgeton, NJ 08302-1806

Mailing address

154 W Commerce St
Bridgeton, NJ 08302-1806
Phone (856) 459-3500

Other identifiers 1

IdentifierTypeStateIssuer
6587208MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.manske.2@12810.direct.athenahealth.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060711000106 NJ Practitioner - Family Practice 1951314186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelcare Alliance LLCGroup PAC ID 0941470082, 20 clinicians

Practice addresses (Care Compare)

154 W Commerce St
Bridgeton, NJ 08302-1806
Phone (856) 459-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062223NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Alliance, LLC Family Medicine CurrentSince Jul 1, 2011 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Daniel Manske MD Family Medicine PastSince Jul 1, 2011 Accepting new patients
Dendrinos Medical Associates, P.a. Past Accepting new patients

Locations

2020 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 563-1600

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

76 S State St
Vineland, NJ 08360
Phone (856) 205-1112

Interoperability endpoints

  • Direct secure messaging: daniel.manske.2@12810.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12810/brand/1/csg/1/fhir/r4

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 1

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1356389860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 W COMMERCE ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021806",
            "telephone_number": "856-459-3500",
            "fax_number": "856-459-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W COMMERCE ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021806",
            "telephone_number": "856-459-3500",
            "fax_number": "856-459-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSKE",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA062223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6587208",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.manske.2@12810.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "154 W Commerce St",
            "city": "Bridgeton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083021806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.