GIZELLE MANOAH PC INC NPI 1225394075

NPI Information

  • NPI: 1225394075
  • Provider Name: GIZELLE MANOAH, PC, INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 59 MAIN ST
    SUITE 204
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 243-0220

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NPI Details

GIZELLE MANOAH, PC, INC is a clinic center in West Orange, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GIZELLE MANOAH, PC, INC NPI is 1225394075. The provider is registered as an organization entity type.

The provider's business location address is:

59 MAIN ST
SUITE 204
WEST ORANGE, NJ
ZIP 07052-341
Phone: (973) 243-0220

The provider's authorized official is Anne-marie Gizelle Gracia .
The authorized official title is President and has the following contact phone number (973) 243-0220.

The enumeration date for this NPI number is 4/5/2012 and was last updated on 4/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterMA58440NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16560610MEDICAIDNEW JERSEY
2G04234MEDICARE UPINNEW JERSEY
3707706MEDICARE UPINNEW JERSEY
4707706MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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