Marjorie B Manalang

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ14982200 Issued in NJ

Practice address

230 Changebridge Rd
Montville, NJ 07045-9557

Phone

(201) 275-5219

NPI assigned

Dec 29, 2023

Sex

Female

Sole proprietor

Yes

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

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
  • NPI 1942912381
  Medicare reassignment Care Compare group NPD
• Gamil Makar MD LLC

  • Family Medicine Physician
  • Clifton, NJ
  • NPI 1942242318
  Medicare reassignment NPD
• Harmony Medical Services of New Jersey LLC

  • Family Medicine Physician
  • Montclair, NJ
  • NPI 1649873183
  Medicare reassignment NPD
• Harmony Medical Services of New Jersey LLC

  • Family Medicine Physician
  • Montclair, NJ
  • NPI 1356048573
  NPD

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1477322584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CHANGEBRIDGE RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459557",
            "telephone_number": "201-275-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHANGEBRIDGE RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459557",
            "telephone_number": "201-275-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALANG",
        "first_name": "MARJORIE",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14982200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A. Logan, PSY.D, LPC
• Barbara M. Loria, APRN
• Elizabeth Rebecca Macgregor, ED.D
• Rama D Maddukuri, R.PH
• Kaitlin Malishkevich
• Jessica Mangels
• Reshma Paresh Maniar, MSN, RN, AGACNP-BC,
• Susan Joy Margolin, M.D.
• Mary C Kannankeril MD.,PA
• Brett Matisak

• Family Nurse Practitioner in Montville, NJ
• Providers in Montville, 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 Dec 29, 2023; 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.