Manisha Panwala, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

933723 Issued in NJ

Practice address

18 Engle St Apt 6U
Tenafly, NJ 07670-2826

Phone

(917) 415-0504

NPI assigned

Jul 14, 2011

Last updated

Jul 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Manisha Panwala LLC

  • Metabolic Nutrition Registered Dietitian
  • Tenafly, NJ
  • NPI 1144656869
  Authorized official Same address or phone
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1912295619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ENGLE ST APT 6U",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702826",
            "telephone_number": "917-415-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENGLE ST APT 6U",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702826",
            "telephone_number": "917-415-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANWALA",
        "first_name": "MANISHA",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "933723",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NJ",
            "license": "933723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph Lee Nunez, M.D.
• Obstetrics and Gynecological Associates of Tenafly
• Stephanie Omens, MASTERS DEGREE
• Euna Paik, CCC-SLP
• Steven Pak
• Argiro Papandrikos-Bayiokos, DDS
• Martha Paradis, LCSW
• Hyo Soon Park, PMHNP
• Manthan Patel, PT
• Bari Patnoi, MS, OTR/L

• Registered Dietitian in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.