Active NPI
Madhavi Nitin Maniar, MD
- Pediatrics Physician
- East Orange, NJ
National Provider Identifier
1497892319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA034395
- Practice address
- 90 Washington St
Suite 305
East Orange, NJ 07017 - Phone
- (973) 676-2492
- Fax
- (973) 676-5901
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA034395 | NJ | Primary |
Addresses
Primary practice location
90 Washington St
Suite 305
East Orange, NJ 07017
Mailing address
90 Washington St
Suite 305
East Orange, NJ 07017
Phone (973) 676-2492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0780405 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA034395 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newark Beth Israel Medical Center Inc | Past | Accepting new patients | |
| Maniar Pediatrics | Pediatrics | Past | Accepting new patients |
| Cooperman Barnabas Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- Pediatrics Physician
- East Orange, NJ
- NPI 1962830083
-
dba Newark Beth Israel Medical Center
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1497892319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 WASHINGTON ST",
"address_2": "SUITE 305",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "07017",
"telephone_number": "973-676-2492",
"fax_number": "973-676-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 WASHINGTON ST",
"address_2": "SUITE 305",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "07017",
"telephone_number": "973-676-2492",
"fax_number": "973-676-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIAR",
"first_name": "MADHAVI",
"middle_name": "NITIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA034395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0780405",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.