Manuel Fernandez MD PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

03550900 Issued in NJ

Legal business name

MANUEL FERNANDEZ MD PA

Practice address

205 May St
Edison, NJ 08837-3267

Phone

(732) 661-9075

NPI assigned

Aug 9, 2016

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manuel Fernandez, MD

Title

President

Phone

(732) 826-4177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1740734524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 HIGHWAY 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473469",
            "telephone_number": "908-902-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAY ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373267",
            "telephone_number": "732-661-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-826-4177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "03550900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanpreet Kaur Mangat, M.D.
• Michael Jerome Mangual-Marquez
• Nicholas Maniscalco, DPT
• Daniela Alejandra Manosalva - Duque
• Lucas Manrique, LAC NCC
• Hiba Manzoor, MD
• Yongming Mao, MD
• Alexander M Marcus, MD
• Ashley Margaritondo, DPT
• Maria Conklin

• Preferred Provider Organization in Edison, NJ
• Providers in Edison, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.