Individual provider Active NPI

Manisha D. Naik, DO

  • Rheumatology Physician
  • Langhorne, PA
National Provider Identifier
1912108176
Registry record updated Jun 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS013402 Issued in PA
Practice address
1205 Langhorne Newtown Rd
Ste 406, St Mary Medical Build
Langhorne, PA 19047-1219
Phone
(267) 564-5115
NPI assigned
May 29, 2007
Last updated
Jun 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS013402 PA Primary

Addresses

Primary practice location

1205 Langhorne Newtown Rd
Ste 406, St Mary Medical Build
Langhorne, PA 19047-1219

Mailing address

1205 Langhorne Newtown Rd
St Mary Mob, Ste 406B
Langhorne, PA 19047-1219
Phone (267) 685-0785

Other identifiers 1

IdentifierTypeStateIssuer
1024142510001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000214 PA Practitioner - RheumatologyPractitioner - Internal Medicine 1052466315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1205 Langhorne Newtown Rd
Langhorne, PA 19047-1223
Phone (267) 685-0785

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS013402PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Heart and Vascular Group, P.C. Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403395200000",
    "number": "1912108176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "ST MARY MOB, STE 406B",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "267-685-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "STE 406, ST MARY MEDICAL BUILD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "267-564-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "MANISHA",
        "middle_name": "D.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS013402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024142510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.