Active NPI
Manuel Sanchez, MD
- Psychiatry Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA62336
- Practice address
- 183 S Orange Ave
Newark, NJ 07103-2757 - Phone
- (973) 972-8417
- Fax
- (973) 972-7173
- NPI assigned
- Feb 7, 2006
- Last updated
- Dec 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA62336 | NJ | Primary |
Addresses
Primary practice location
183 S Orange Ave
Newark, NJ 07103-2757
Mailing address
1028 Coolidge Rd
Elizabeth, NJ 07208-3625
Phone (973) 972-8417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7440804 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA62336 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Co Board of Chosen Freehold Admin | Current | Accepting new patients | |
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
| Rutgers Health - Behavioral Health | Psychiatry | Current | Accepting new patients |
| Smith Center for Infectious Diseases and Urban Health, P.a. | Past | Accepting new patients | |
| Seacrest Medical Associates, P.a. | Psychiatry | Past | Accepting new patients |
Locations
183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0480
671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289
595 County Ave
Secaucus, NJ 07094
Phone (201) 369-5252
Organizations & group practices 5
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.
-
dba HC Meadowview Psychiatric Hospital
- Psychiatric Hospital
- Secaucus, NJ
- NPI 1053470047
-
- Psychiatry Physician
- Cherry Hill, NJ
- NPI 1891956298
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1144267337
-
- Psychiatry Physician
- Newark, NJ
- NPI 1164489621
-
- Voluntary or Charitable Agency
- East Orange, NJ
- NPI 1114242625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1407828999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 COOLIDGE RD",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072083625",
"telephone_number": "973-972-8417",
"fax_number": "973-972-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 S ORANGE AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-8417",
"fax_number": "973-972-7173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "MANUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA62336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440804",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.