Active NPI
Jose M Manjon, MD
- Obstetrics & Gynecology Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD035254E
- Practice address
- 4300 Londonderry Rd Ste 305
Harrisburg, PA 17109-5317 - Phone
- (717) 724-6788
- Fax
- (717) 730-0099
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD035254E | PA | Primary |
Addresses
Primary practice location
4300 Londonderry Rd Ste 305
Harrisburg, PA 17109-5317
Mailing address
4300 Londonderry Rd Ste 305
Harrisburg, PA 17109-5317
Phone (717) 791-2960
Other practice location 1
1600 6th Ave Ste 117
York, PA 17403-2627
Phone (717) 840-9885
Other practice location 2
2025 Technology Pkwy Ste 109
Mechanicsburg, PA 17050-9401
Phone (717) 791-2590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001057812 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmanjon5914@phsdirect.pinnaclehealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
121 Towne Square Dr
Hershey, PA 17033-9440
2025 Technology Pkwy
Mechanicsburg, PA 17050-9401
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035254E | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
2035 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050
Phone (717) 231-4567
Interoperability endpoints
- jmanjon295304@upmc.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
Obstetrics & Gynecology
-
- Pulmonary Disease Physician
- Hanover, PA
- NPI 1235617317
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1962497628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 LONDONDERRY RD STE 305",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095317",
"telephone_number": "717-791-2960",
"fax_number": "717-791-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 LONDONDERRY RD STE 305",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095317",
"telephone_number": "717-724-6788",
"fax_number": "717-730-0099"
}
],
"practiceLocations": [
{
"address_1": "1600 6th Ave Ste 117",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174032627",
"country_code": "US",
"telephone_number": "717-840-9885",
"fax_number": "717-840-9313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2025 Technology Pkwy Ste 109",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170509401",
"country_code": "US",
"telephone_number": "717-791-2590",
"fax_number": "717-221-5466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANJON",
"first_name": "JOSE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD035254E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001057812",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmanjon5914@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "2035 Technology Pkwy Ste 201",
"city": "Mechanicsburg",
"state": "PA",
"country_code": "US",
"postal_code": "170509422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.