Andrei M Manalang, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00694800 Issued in NJ

Practice address

1777 Hamburg Tpke
Suite 105
Wayne, NJ 07470-5211

Phone

(862) 248-0840

Fax

(862) 248-0841

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Columbia Doctors of New Jersey, P. C.

  • Orthopaedic Surgery Physician
  • Englewood, NJ
  • NPI 1184202822
  NPD (past)
• Hana Healthcare, P.C.

  • Chiropractor
  • Englewood, NJ
  • NPI 1508094228
  NPD (past)
• Professional Medical Rehabilitation PA

  • Physical Medicine & Rehabilitation Physician
  • Paramus, NJ
  • NPI 1235413279
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1457480543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FLORAL TER",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702449",
            "telephone_number": "201-266-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705211",
            "telephone_number": "862-248-0840",
            "fax_number": "862-248-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALANG",
        "first_name": "ANDREI",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00694800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Howard Mailly, P.T.
• Frank Vincent Maldonado, DDS
• Wilson Maldonado, D.M.D
• Mark E Maletsky, MD
• Joanne Malysa, OT
• Nicholas Joseph Mangone Jr., PT, DPT
• Julia Maniaci, RDN
• Nicole Rose Maniaci I
• Marcia Laky PHD (Marcia Laky PhD Counseling Center)
• Guy E. Margolin, D.C.

• Physical Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.