Organization Active NPI

Manjon Gynecology PC

  • Obstetrics & Gynecology Physician
  • Harrisburg, PA
National Provider Identifier
1376704700
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD035254E Issued in PA
Legal business name
MANJON GYNECOLOGY PC
Practice address
2416 Green Strreet
Harrisburg, PA 17110
Phone
(717) 234-8494
Fax
(717) 234-4415
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. Jose M Manjon, M.D.
Title
Owner
Phone
(717) 234-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD035254E PA Primary

Addresses

Primary practice location

2416 Green Strreet
Harrisburg, PA 17110

Mailing address

2416 Green Strreet
Harrisburg, PA 17110
Phone (717) 234-8494

National Provider Directory

National Provider Directory

Locations

2416 Green St
Harrisburg, PA 17110
Phone (717) 234-8494

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1376704700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 GREEN STRREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17110",
            "telephone_number": "717-234-8494",
            "fax_number": "717-234-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 GREEN STRREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17110",
            "telephone_number": "717-234-8494",
            "fax_number": "717-234-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJON GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "MANJON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-234-8494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD035254E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.