Individual provider Active NPI

Madison Meyer Manzi, MD

  • Obstetrics & Gynecology Physician
  • Morristown, NJ
National Provider Identifier
1457989568
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA12253800 Issued in NJ
Practice address
111 Madison Avenue #308
Morristown, NJ 07960
Phone
(973) 285-0400
NPI assigned
Apr 1, 2020
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 25MA12253800 NJ Primary

Addresses

Primary practice location

111 Madison Avenue #308
Morristown, NJ 07960

Mailing address

111 Madison Avenue #308
Morristown, NJ 07960
Phone (973) 285-0400

Other names 1

  • Madison Taylor Meyer Former name

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
I20240820002530 NJ Practitioner - Obstetrics/Gynecology 9931647070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

111 Madison Ave
Morristown, NJ 07960-7347

16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12253800NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Aug 23, 2024 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

100 Campus Dr
Ste 405
Florham Park, NJ 07932
Phone (800) 845-2785

111 Madison Ave
Ste 308
Morristown, NJ 07960
Phone (973) 267-8266

530 Morris Ave
Ste 1
Springfield, NJ 07081

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: madison.manzi.1@27010.direct.athenahealth.com
  • Direct secure messaging: mmanzi534003@direct.ahsys.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 2

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1457989568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MADISON AVENUE #308",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-285-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MADISON AVENUE #308",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-285-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZI",
        "first_name": "MADISON",
        "middle_name": "MEYER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-09-03",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA12253800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "MEYER",
            "middle_name": "TAYLOR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.