Manoucheka Jean, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01401600 Issued in NJ

Practice address

5 Eisenhower Rd
Columbia, NJ 07832-2716

Phone

(908) 362-5360

Fax

(908) 362-8396

NPI assigned

Nov 29, 2022

Last updated

Nov 29, 2022By the provider in NPPES

Sex

Female

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

Enrolled in NJ, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Premier Health Associates LLCGroup PAC ID 0840283008, 45 clinicians

Rite Med Group of PA PLLCGroup PAC ID 1254703671, 9 clinicians

Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Merit-based Incentive Payment System (MIPS)

Final score

78.05 of 100Reported as apm

Quality

65.09

Promoting interoperability

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDJHBA
• Direct secure messaging: manoucheka.jean@593314999828484.direct.elationemr.com
• Direct secure messaging: manouchekajean@premiernj.allscriptsdirect.net

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.

• Premier Health Associates LLC

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1043257991

  PA

  Medicare reassignment Care Compare group NPD
• Rite Med Group of PA PLLC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1962118000
  Medicare reassignment Care Compare group NPD
• Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
  • NPI 1942912381
  Medicare reassignment Care Compare group
• Liberty Med Associates LLC

  • Internal Medicine Physician
  • Holmdel, NJ
  • NPI 1366983033
  Medicare reassignment NPD
• Somdocs

  • Family Medicine Physician
  • Somerville, NJ
  • NPI 1508390832
  Medicare reassignment NPD
• Liberty Med Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Hazlet, NJ
  • NPI 1386279552
  NPD
• Premier Health Associates, LLC

  • Clinic/Center
  • Sparta, NJ
  • NPI 1881882785
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lehigh Valley Hospital Pocono

  • General Acute Care Hospital
  • East Stroudsburg, PA
  • NPI 1568459436
  Care Compare affiliation

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1467162610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 LAFAYETTE RD STE 300",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078714411",
            "telephone_number": "908-362-5360",
            "fax_number": "908-362-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EISENHOWER RD",
            "city": "COLUMBIA",
            "state": "NJ",
            "postal_code": "078322716",
            "telephone_number": "908-362-5360",
            "fax_number": "908-362-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "MANOUCHEKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01401600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Garriques, MS, RD
• Jennifer Giordano, RBT
• Anthony Greenberg, M.D.
• Louis James Haberman, CPO / LPO
• Krysta Anne Harajda
• Daryl K Kim, MD
• Jenine Lafevre, PT
• Lehigh Valley Physical Therapy Center, Inc
• Desiree Lynda Lemieux, LMA
• Lighthouse Clover LLC (Clover Rest Home)

• Family Nurse Practitioner in Columbia, NJ
• Providers in Columbia, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.