Dr. Suman Manchireddy
Internal Medicine

Address: 30 Prospect Ave, Hackensack, NJ 07601-1914
Phone: 2019963664

Dr. Suman Manchireddy (NPI# 1164676037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1164676037
Entity Type Individual
Full Name Dr. Suman Manchireddy
Credential MD
Gender Male
Practice Address 30 Prospect Ave
Hackensack
NJ 07601-1914
Practice Telephone 2019963664
Practice Fax Number 5519960536
Mailing Address 5410 Maryland Way
#300
Brentwood
TN 37027-5064
Mailing Telephone 6153775600
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-11-05
Last Update Date 2010-03-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 047100 CT
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 25MA97511800 NJ

Other Provider Identifier

State Identifier Issuer Type Code
NJ 0217352 MEDICAID

Physician Overview

NPI 1164676037
PAC ID by PECOS 8921158569
Professional Enrollment ID I20130919000161
Full Name Suman Manchireddy
Organization Legal Name INOVA HEALTH CARE SERVICES
Phone Number 7037712960
Gender M
Graduation Year 2002
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 2466351093
Number of Group Practice Members 735
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490043 INOVA LOUDOUN HOSPITAL

Office Location

Street Address 30 PROSPECT AVE
City HACKENSACK
State NJ
Zip Code 07601-1914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306161278 Sivia K Lapidus Pediatrics 30 Prospect Ave, Hackensack, NJ 07601 2010-04-02
1457828360 Danielle Lena Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-10-29
1083199160 Felicidad Marie I. Santiago Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-09-25
1710467709 Alyssa Cappolla Parrish Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-08-19
1487133922 Hospitalist Medicine Physicians of New Jersey -tcg, PC Internal Medicine 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-08-07
1457839169 Kavita Joshi Nurse Practitioner 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-08-03
1518456672 Nahjin Park Student in an Organized Health Care Education/Training Program 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-05-04
1689163792 Yan Min Gu Student in an Organized Health Care Education/Training Program 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-05-03
1215426333 Eli Jankelovits Student in an Organized Health Care Education/Training Program 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-05-03
1740779933 Sara Farid Student in an Organized Health Care Education/Training Program 30 Prospect Ave, Hackensack, NJ 07601-1915 2018-05-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1720592942 Pain Associates of Bergen County LLC Pain Medicine 294 State Street, Suite 2, Hackensack, NJ 07601 2017-11-27
1063932259 Matthew Gabriel Physician Assistant 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 2017-06-20
1861927345 Sara Rahimi Registered Nurse 310 Lookout Ave, Apt 304, Hackensack, NJ 07601 2017-04-21
1790219772 Eastern Dental of Hackensack, LLC Dentist 450 Hackensack Avenue, Suite 4, Hackensack, NJ 07601 2017-04-17
1568839173 Ridgewood Diagnostic Laboratory, LLC Clinical Medical Laboratory 126 State Street, 2nd Floor, Hackensack, NJ 07601 2015-08-31
1356727937 Mary Norey-miceli Physical Therapist 160 Overlook Ave Ste 1a, Hackensack, NJ 07601 2015-08-05
Find all providers in zip 07601

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922573740 Advanced Wound Care Internal Medicine 140 Prospect Ave Apt 8e, Hackensack, NJ 07601-2248 2018-10-08
1467893917 Nikki Bajaj Internal Medicine 260 Prospect Ave, Apt 163, Hackensack, NJ 07601-2600 2013-07-12
1770880536 Sundar Alvin Dhamotharan Internal Medicine 310 Prospect Ave Apt 216, Hackensack, NJ 07601-7763 2011-02-14
1639309347 Eshwa B Ahmadi Internal Medicine 30 Euclid Ave Apt 4f, Hackensack, NJ 07601-4568 2009-07-16
1073778429 Hamid M Nia Internal Medicine 20 Prospect Ave Ste 615, Hackensack, NJ 07601-1989 2008-07-25
1992969059 David Louis Broadnax Internal Medicine 386 Second Street, Hackensack, NJ 07601 2008-07-17
1306012182 S M Golam Kibrea Internal Medicine 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 2008-05-01
1811023682 Aret Y Kahyaoglu Internal Medicine 165 Summit Ave, Hackensack, NJ 07601-1311 2007-02-26
1649342627 William Tatsuo Kasumi Internal Medicine 401 Hackensack Ave Ste 501, Hackensack, NJ 07601-6411 2006-11-14
1306934864 Sapna Singh Internal Medicine 344 Prospect Ave, Suite 1a, Hackensack, NJ 07601-2601 2006-10-10
Find all providers in HACKENSACK

Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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