Nicholas Maniscalco, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00769600 Issued in NJ

Practice address

1907 Oak Tree Rd
Suite 203
Edison, NJ 08820-2070

Phone

(732) 321-1855

Fax

(732) 321-1866

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1669403374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "address_2": "1180 RARITAN ROAD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD",
            "address_2": "SUITE 203",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070",
            "telephone_number": "732-321-1855",
            "fax_number": "732-321-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00769600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Manahan
• Lauren Nicole Mandelbaum, PA-C
• Kristen Nicole Mandia
• Chanpreet Kaur Mangat, M.D.
• Michael Jerome Mangual-Marquez
• Daniela Alejandra Manosalva - Duque
• Lucas Manrique, LAC NCC
• Manuel Fernandez MD PA
• Hiba Manzoor, MD
• Yongming Mao, MD

• Physical Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.