Organization Active NPI

Manalapan Medical PC

  • Family Medicine Physician
  • Manalapan, NJ
National Provider Identifier
1699708826
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MANALAPAN MEDICAL PC
Practice address
345 Rte 9 S
#8
Manalapan, NJ 07726
Phone
(732) 845-2200
Fax
(732) 845-0154
NPI assigned
Jul 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yelena Itskahoi, MD
Title
Owner
Phone
(732) 845-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

345 Rte 9 S
#8
Manalapan, NJ 07726

Mailing address

345 Rte 9 S
#8
Manalapan, NJ 07726
Phone (732) 845-2200

National Provider Directory

National Provider Directory

Locations

345 Route 9
#S8
Manalapan, NJ 07726
Phone (732) 845-2200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699708826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 RTE 9 S",
            "address_2": "#8",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-845-2200",
            "fax_number": "732-845-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 RTE 9 S",
            "address_2": "#8",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-845-2200",
            "fax_number": "732-845-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANALAPAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ITSKAHOI",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-845-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.