Active NPI
Manjusha Rentala, MD
- Emergency Medicine Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD062516L
- Practice address
- 25 Church St
Wilkes Barre, PA 18702-3507 - Phone
- (570) 808-3100
- Fax
- (570) 808-2539
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD062516L | PA | Primary |
Addresses
Primary practice location
25 Church St
Wilkes Barre, PA 18702-3507
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 808-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G851680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, MN, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Rutgers New Jersey Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Townsend Ave
Berlin, NJ 08009-9011
Phone (856) 322-3260
111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5000
25 Church St
Wilkes Barre, PA 18765-0001
Phone (570) 826-3293
Hospital & facility affiliations
- Saint Michael'S Medical Center
- West Jersey Hospital
- Geisinger Wyoming Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
| Ihpnj ER LLC | Emergency Medicine | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Current | Accepting new patients |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Prohealth Urgent Care Medicine of New Jersey LLP | Current | Accepting new patients | |
| Interfaith Emergency Medicine, P.C. | Emergency Medicine | Current | Accepting new patients |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Small Hospital Innovations LLC | Emergency Medicine | Current | Accepting new patients |
| Atlanticare Physician Group | Current | Accepting new patients | |
| Kingsbrook Medical Associates, PC | Current | Accepting new patients | |
| Atlanticare Urgent Care Physicians LLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Kingsbrook Medical Associates PC | Emergency Medicine | Current | Accepting new patients |
| CCM Health | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
| United Hospital District Inc. | Past | Accepting new patients | |
| Berkeley Emergency Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Berkeley Emergency Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
1310 Blackwood Clementon Rd
Laurel Spgs, NJ 08021
Phone (609) 677-7200
415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
1 Harmon Plz
Ste 1010
Secaucus, NJ 07094
255 N Route 73
West Berlin, NJ 08091
Phone (609) 569-7040
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014
100 N Academy Ave
Danville, PA 17822
25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800
25 Church St
Wilkes Barre, PA 18765
Phone (570) 826-3100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- mrentala195517@direct-guthrie.org
Organizations & group practices 27
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
- Urgent Care Clinic/Center
- Sicklerville, NJ
- NPI 1083991616
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1225750946
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1457643785
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1104112838
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Diagnostic Radiology Physician
- Pittston, PA
- NPI 1104292960
Hospital
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1174822068
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1275620585
-
- General Acute Care Hospital
- Pittston, PA
- NPI 1316692585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1629089719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-808-3100",
"fax_number": "570-808-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CHURCH ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187023507",
"telephone_number": "570-808-3100",
"fax_number": "570-808-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTALA",
"first_name": "MANJUSHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD062516L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G851680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.