Individual provider Active NPI

Anna Manioudakis, APRN, FNP-C

  • Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1952914244
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01048200 Issued in NJ
Practice address
831 Tennent Rd Ste 1E
Manalapan, NJ 07726-8288
Phone
(732) 851-4700
Fax
(732) 851-4703
NPI assigned
Aug 26, 2020
Reactivated
Sep 25, 2020
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01048200 NJ Primary

Addresses

Primary practice location

831 Tennent Rd Ste 1E
Manalapan, NJ 07726-8288

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

901 W Main Street, Ambulatory Campus
Building A, Suite 260
Freehold, NJ 07728
Phone (732) 851-4700

Other practice location 2

20 Wills Way
Piscataway, NJ 08854-3770
Phone (732) 562-0027

Other practice location 3

2 Hospital Plz Ste 450
Old Bridge, NJ 08857-3154
Phone (732) 416-6915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201001000461 NJ Practitioner - Nurse Practitioner 3476972076 Reassigns benefits to 3 organizations
I20260401001698 NY Practitioner - Nurse Practitioner 3476972076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

831 Tennent Rd
Suite 1E
Manalapan, NJ 07726-8288
Phone (732) 851-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Live Urgent Care LLC CurrentSince Jun 22, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince Jan 27, 2025 Accepting new patients
Diabetes & Osteoporosis Center PC CurrentSince Jun 1, 2021 Accepting new patients
Centrastate Cardiology PC CurrentSince Oct 1, 2024 Accepting new patients
Allegra Arthritis Associates PC Past Accepting new patients

Locations

363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Bldg A
Freehold, NJ 07728
Phone (732) 840-7500

901 W Main St
Ste 260
Freehold, NJ 07728
Phone (732) 685-9243

831 Tennent Rd
Manalapan, NJ 07726
Phone (732) 536-7144

831 Tennent Rd
Ste 1E
Manalapan, NJ 07726
Phone (732) 851-0200

831 Tennent Rd
Ste 1F
Manalapan, NJ 07726
Phone (732) 294-7012

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

2 Hospital Plz
Ste 450
Old Bridge, NJ 08857
Phone (732) 416-6915

20 Wills Way
Piscataway, NJ 08854
Phone (732) 562-0027

149 Pierce St
Ste 1D
Somerset, NJ 08873
Phone (732) 838-4942

Organizations & group practices 6

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 10

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1952914244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD STE 1E",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-851-4700",
            "fax_number": "732-851-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Main Street, Ambulatory Campus",
            "address_2": "Building A, Suite 260",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "07728",
            "country_code": "US",
            "telephone_number": "732-851-4700",
            "fax_number": "732-851-4703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Wills Way",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088543770",
            "country_code": "US",
            "telephone_number": "732-562-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hospital Plz Ste 450",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573154",
            "country_code": "US",
            "telephone_number": "732-416-6915",
            "fax_number": "732-416-6918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIOUDAKIS",
        "first_name": "ANNA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-22",
        "deactivation_date": "2020-09-22",
        "reactivation_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01048200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.