Manju J Tharayil, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05491600 Issued in NJ

Practice address

87 W End Ave
Somerville, NJ 08876-1828

Phone

(908) 705-3519

NPI assigned

May 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Zenith Counseling PC

  • Clinical Social Worker
  • Somerville, NJ
  • NPI 1477893097
  Medicare reassignment NPD Authorized official
• NJ Behavioral Health Services PC

  • Clinical Psychologist
  • Paramus, NJ
  • NPI 1447289376
  NPD (past)

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1972861631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAGAMORE LN",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054458",
            "telephone_number": "908-705-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 W END AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761828",
            "telephone_number": "908-705-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARAYIL",
        "first_name": "MANJU",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05491600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Takacs, RPH
• Tat Chiang DMD LLC
• Ahmed S Tayel, NURSE PRACTITIONER
• Emily A Teed, CCC-SLP
• Tender Hand Healthcare Services LLC
• The Whole-Istic You, LLC
• Therazone Physical Therapy LLC
• Rhea Thompson-Sitney, MD
• Alethea Thompson
• Time Turners Counseling and Consulting, LLC

• Clinical Social Worker in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.

Verify at the official NPI Registry.