Individual provider Active NPI

Manuela G Pedra-Nobre, M.D.

  • Rheumatology Physician
  • Westfield, NJ
National Provider Identifier
1912939844
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA05738900 Issued in NJ
Practice address
577 Westfield Ave
Westfield, NJ 07090-3373
Phone
(908) 233-9111
Fax
(908) 233-9920
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MA05738900 NJ Primary
Rheumatology Physician 207RR0500X MA57389 NJ

Addresses

Primary practice location

577 Westfield Ave
Westfield, NJ 07090-3373

Mailing address

PO Box 4606
North Jersey Rheumatology Center PA
Warren, NJ 07059
Phone (908) 233-9111

Other identifiers 2

IdentifierTypeStateIssuer
MA57389OtherNJLICENSE
6594603MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050809000445 NJ Practitioner - Rheumatology 5890724959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

577 Westfield Ave
Westfield, NJ 07090-3373
Phone (908) 233-9111

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05738900NJMDRheumatology Physician
MA57389NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Rheumatology Center, PA Rheumatology CurrentSince Oct 1, 2006 Accepting new patients

Locations

10 Mountain Blvd
Warren, NJ 07059
Phone (908) 226-9000

577 Westfield Ave
Westfield, NJ 07090
Phone (908) 232-2212

577 Westfield Ave
Ste 1
Westfield, NJ 07090

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1912939844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4606",
            "address_2": "NORTH JERSEY RHEUMATOLOGY CENTER PA",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "07059",
            "telephone_number": "908-233-9111",
            "fax_number": "908-233-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 WESTFIELD AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903373",
            "telephone_number": "908-233-9111",
            "fax_number": "908-233-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRA-NOBRE",
        "first_name": "MANUELA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA05738900",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "MA57389",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA57389",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6594603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.