Active NPI
Karen Elizabeth Manista, ATC
- Other Specialist/Technologist
- Summit, NJ
National Provider Identifier
1700813748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 25MT00002800
- Practice address
- 125 Kent Place Blvd
Summit, NJ 07901-4704 - Phone
- (908) 273-1494
- NPI assigned
- Jun 26, 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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 25MT00002800 | NJ | Primary |
Addresses
Primary practice location
125 Kent Place Blvd
Summit, NJ 07901-4704
Mailing address
100 Seaview Ave
5-9
Monmouth Beach, NJ 07750-1256
Phone (732) 571-3001
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 |
|---|---|---|---|
| 25MT00002800 | NJ | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1700813748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SEAVIEW AVE",
"address_2": "5-9",
"city": "MONMOUTH BEACH",
"state": "NJ",
"postal_code": "077501256",
"telephone_number": "732-571-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 KENT PLACE BLVD",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079014704",
"telephone_number": "908-273-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANISTA",
"first_name": "KAREN",
"middle_name": "ELIZABETH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "NJ",
"license": "25MT00002800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.