Andrew Manansala

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09109900 Issued in NJ

Practice address

63 Hooyman Dr
Clifton, NJ 07013-3640

Phone

(973) 330-6431

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1740040229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 GARIBALDI PL",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764120",
            "telephone_number": "201-310-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HOOYMAN DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133640",
            "telephone_number": "973-330-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANANSALA",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09109900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melba Malaran-Basta
• Vincent J Malba, D.C.
• Tayyab Malik, MD
• Beau Malimas
• Myleen Mamaril
• Maneyapanda LLC
• Jesse Mangone
• Ryan Mangubat, P.T.
• Jennifer L Manipon, D.P.T.
• Robert Manley, MPT

• Occupational Therapy Assistant in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.