Individual provider Active NPI

Manola Tejada, D.C.

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1558459727
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00394800 Issued in NJ
Practice address
319 Barrow St Suite 1a
Jersey City, NJ 07302-3579
Phone
(201) 433-2096
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006138-1 NY
Chiropractor 111N00000X 38MC00394800 NJ Primary
Chiropractor 111N00000X 1388 SC

Addresses

Primary practice location

319 Barrow St Suite 1a
Jersey City, NJ 07302-3579

Mailing address

319 Barrow St Suite 1a
Jersey City, NJ 07302-3579
Phone (201) 433-2096

Other identifiers 5

IdentifierTypeStateIssuer
1926802MedicaidNJ
01000765100OtherNJAMERICHOICE
58088600OtherNJGHI NUMBER
UNITED HEALTH CAREOtherNJ869870
36513OtherNJ36513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050623000505 NJ Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3375585300 Reassigns benefits to 1 organization
I20240925000434 NY Practitioner - Chiropractic 3375585300 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Life Chiropractic College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amazing Touch Rehabilitation and Wellness Center PCGroup PAC ID 0749222768, 2 clinicians

Practice addresses (Care Compare)

319 Barrow St
1A
Jersey City, NJ 07302-3579
Phone (201) 433-2096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00394800NJMDChiropractor
X006138-1NYMDChiropractor
1388SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Touch Rehabilitation & Wellness Center PC Chiropractor CurrentSince May 9, 2005 Accepting new patients

Locations

319 Barrow St
Ste 1A
Jersey City, NJ 07302
Phone (201) 433-2096

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1558459727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BARROW ST SUITE 1A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023579",
            "telephone_number": "201-433-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BARROW ST SUITE 1A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023579",
            "telephone_number": "201-433-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "MANOLA",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006138-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00394800",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1926802",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000765100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI NUMBER",
            "identifier": "58088600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "869870",
            "identifier": "UNITED HEALTH CARE",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "36513",
            "identifier": "36513",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.