Embodied Transcendence Existence LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EMBODIED TRANSCENDENCE EXISTENCE LLC

Practice address

525 Wanaque Ave
Pompton Lakes, NJ 07442-1843

Phone

(201) 266-3942

Fax

(980) 206-5546

NPI assigned

Nov 25, 2022

Organization subpart

No

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

Authorized official

Name

Jawad Manzoor, MDNPI 1295354330

Title

Owner

Phone

(201) 266-3942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jawad Manzoor, MD

  • Psychiatry Physician
  • Binghamton, NY
  • NPI 1295354330

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1851001341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421843",
            "telephone_number": "201-266-3942",
            "fax_number": "980-206-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421843",
            "telephone_number": "201-266-3942",
            "fax_number": "980-206-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED TRANSCENDENCE EXISTENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "MANZOOR",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-266-3942",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan C Eland, LCSW
• Ali Yasser Eldeeb
• Nermin H Elhossiny
• Antoinette R Elmateet, RDN
• James Elmini
• Anthony Ricardo Escobar, REGISTERED DIETITIAN
• Sarah Caroline Evans I
• Falcon Behavioral Care, LLC
• Linda Christine Farrell, MED. NCC
• Carol Fishelman-Rosen, LCSW

• Psychiatry Physician in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.