Individual provider Active NPI

Manakan B Srichai, MD

  • Nephrology Physician
  • Somerset, NJ
National Provider Identifier
1396772299
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA08736200 Issued in NJ
Practice address
7 Cedar Grove LN
Suite 31
Somerset, NJ 08873-1331
Phone
(732) 873-1400
Fax
(732) 960-3444
NPI assigned
Jun 27, 2006
Last updated
Aug 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA08736200 NJ Primary

Addresses

Primary practice location

7 Cedar Grove LN
Suite 31
Somerset, NJ 08873-1331

Mailing address

7 Cedar Grove LN
Suite 31
Somerset, NJ 08873-1331
Phone (732) 873-1400

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
I20101130001150 NJ Practitioner - NephrologyPractitioner - Internal Medicine 1658374954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
West Virginia University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Renal and Hypertension Group, PCGroup PAC ID 9032265293, 4 clinicians

Practice addresses (Care Compare)

7 Cedar Grove LN
Suite 31
Somerset, NJ 08873-1331
Phone (732) 873-1400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Renal & Hypertension Group, PC CurrentSince Sep 1, 2010 Accepting new patients

Locations

7 Cedar Grove Ln
Ste 31
Somerset, NJ 08873
Phone (732) 469-6005

Interoperability endpoints

  • Direct secure messaging: manakan.srichai@direct.davitaphysiciansolutions.com
  • Direct secure messaging: msrichai59214@epicdirect.rwjbh.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1396772299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN",
            "address_2": "SUITE 31",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-873-1400",
            "fax_number": "732-960-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN",
            "address_2": "SUITE 31",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-873-1400",
            "fax_number": "732-960-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRICHAI",
        "first_name": "MANAKAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08736200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.