Active NPI
Gerly S Manabat
- Pharmacist
- Passaic, NJ
National Provider Identifier
1508735325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04468300
- Practice address
- 394 Broadway
Passaic, NJ 07055-1932 - Phone
- (973) 594-4041
- NPI assigned
- Oct 30, 2025
- Last updated
- Oct 30, 2025
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04468300 | NJ | Primary |
Addresses
Primary practice location
394 Broadway
Passaic, NJ 07055-1932
Mailing address
192 Claremont Ave Apt 1
Montclair, NJ 07042-3555
Phone (201) 993-2938
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04468300 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey CVS Pharmacy LLC | Current | Accepting new patients |
Locations
394 Broadway
Passaic, NJ 07055
Phone (973) 594-4041
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1508735325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 CLAREMONT AVE APT 1",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423555",
"telephone_number": "201-993-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 BROADWAY",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070551932",
"telephone_number": "973-594-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANABAT",
"first_name": "GERLY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04468300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.