Active NPI
Manesi Glorivi Mendez, CPNP, RN, BSN
- Nurse Practitioner
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ15360200
- Practice address
- 155 Polifly Rd Ste 102
Hackensack, NJ 07601-1771 - Phone
- (551) 996-8840
- Fax
- (201) 441-9949
- NPI assigned
- Jul 11, 2016
- Last updated
- Oct 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ15360200 | NJ | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | F382735-1 | NY | |
| Registered Nurse | 163W00000X | 706473-1 | NY |
Addresses
Primary practice location
155 Polifly Rd Ste 102
Hackensack, NJ 07601-1771
Mailing address
400 Fort Washington Ave Apt 1C
New York, NY 10033-6837
Phone (212) 923-8500
Other practice location 1
4008 Forley St
Elmhurst, NY 11373-1427
Phone (718) 446-0270
Other practice location 2
400 Fort Washington Ave Apt 1C
New York, NY 10033
Phone (212) 923-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
331 Newman Springs Rd
Red Bank, NJ 07701-5688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 706473-1 | NY | MD | Registered Nurse |
| 26NJ15360200 | NJ | MD | Nurse Practitioner |
| F382735-1 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | Accepting new patients | |
| Dap Medical Care PC | Pediatrics | Past | Accepting new patients |
| Happy Kids Pediatrics PLLC | Past | Accepting new patients |
Locations
155 Polifly Rd
Ste 102
Hackensack, NJ 07601
Phone (551) 996-8840
516 Lawrie St
Ste 1
Perth Amboy, NJ 08861
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Pediatrics Physician
- New York, NY
- NPI 1629801469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1730531088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FORT WASHINGTON AVE APT 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100336837",
"telephone_number": "212-923-8500",
"fax_number": "212-923-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 POLIFLY RD STE 102",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011771",
"telephone_number": "551-996-8840",
"fax_number": "201-441-9949"
}
],
"practiceLocations": [
{
"address_1": "4008 Forley St",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113731427",
"country_code": "US",
"telephone_number": "718-446-0270",
"fax_number": "718-446-5939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Fort Washington Ave Apt 1C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10033",
"country_code": "US",
"telephone_number": "212-923-8500",
"fax_number": "212-923-6718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDEZ",
"first_name": "MANESI",
"middle_name": "GLORIVI",
"credential": "CPNP, RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ15360200",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F382735-1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "706473-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.