MATHEWS MANCHA (NPI# 1033671870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033671870 |
| Entity Type | Individual |
| Full Name | MATHEWS MANCHA |
| Practice Address |
111 Dean Dr Tenafly NJ 07670-2764 |
| Mailing Address |
51 Curtmantle Rd Mickleton NJ 08056-1263 |
| Practice Telephone | 2013173442 |
| Practice Fax Number | 2013532343 |
| Mailing Fax Number | 2013173442 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 45PO00012400 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 DEAN DR |
| City | TENAFLY |
| State | NJ |
| Zip Code | 07670-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043236698 | Samar Abrar | Psychiatry & Neurology | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2006-07-15 |
| 1184245649 | Associated Retinal Consultants, LLC | Durable Medical Equipment & Medical Supplies | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2020-05-06 |
| 1750844239 | Advance Prosthetic and Orthotic Inc | Orthotist | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2019-04-10 |
| 1629595988 | Arlyn Abouzied | Social Worker | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2017-08-28 |
| 1740690627 | Balanced Body Rehabilitation LLC | Physical Therapist | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2014-05-01 |
| 1831484781 | Tenafly Eye | Ophthalmology | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2011-06-17 |
| 1265747711 | Vinod Pachagiri Suresh | Psychiatry & Neurology | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2010-08-09 |
| 1407085012 | Michal H Porath | Physical Therapist | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2009-07-06 |
| 1861627705 | Eileen Merker Schneider | Social Worker | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2009-05-21 |
| 1497887889 | Thomas J Schreiber | Psychiatry & Neurology | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792452 | Yanming Zu | Pharmacist | 12 Cobblestone Way, Tenafly, NJ 07670 | 2016-11-08 |
| 1568812147 | Brightview Tenafly, LLC | Alzheimer Center (Dementia Center) | 55 Hudson Avenue, Tenafly, NJ 07670 | 2016-06-15 |
| 1124400551 | Michelle Hilary Roth | Occupational Therapist | 120 County Road, Suite 101, Tenafly, NJ 07670 | 2015-06-22 |
| 1720487648 | Natalya Knafel | Psychiatry & Neurology | 2 Dean Drive 1st Floor South, Tenafly, NJ 07670 | 2014-08-15 |
| 1952743692 | Jewish Community Center On The Palisades | Clinic/Center | 411 East Clinton Avenue, Kaplen Jcc On The Palisades, Tenafly, NJ 07670 | 2013-07-23 |
| 1346587615 | Your Best Health LLC | Internal Medicine | 400 Tenafly Rd #481, Tenafly, NJ 07670 | 2013-01-07 |
| 1679866255 | Elizabeth Burtman | Pediatrics | 2 Dean Dr Ste 2, Tenafly, NJ 07670 | 2011-05-16 |
| 1710115746 | Virginia S Cowen | Massage Therapist | 145 Piermont Road, Jumping Frog Studios, Tenafly, NJ 07670 | 2009-06-29 |
| 1356577522 | Stephen Harold Chenen | Internal Medicine | 82 Oak Ave, Tenafly, NJ 07670 | 2009-06-02 |
| 1033377890 | Jerold Schwartz | Anesthesiology | 84 Woodland Park Drive, Tenafly, NJ 07670 | 2008-05-29 |
| Find all providers in zip 07670 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196515 | Crystal Scott Cobbs | Prosthetist | 408 E Church St Ste E, Blackwood, NJ 08012-3975 | 2020-02-18 |
| 1134761349 | Rita Sanders | Prosthetist | 500a Jersey Ave, Jersey City, NJ 07302-3458 | 2019-10-09 |
| 1326502022 | Daniel Koye | Prosthetist | 64 Ettrick Ter Apt B4, Rutherford, NJ 07070-2072 | 2019-01-27 |
| 1790204063 | Glenn Beall | Prosthetist | 48 Hiawatha Blvd, Oakland, NJ 07436-2919 | 2017-09-18 |
| 1194266064 | Brian O'shea | Prosthetist | 199 New Rd, Suite 57, Linwood, NJ 08221-2025 | 2017-03-13 |
| 1184165060 | Roy Aungst | Prosthetist | 199 New Rd, Suite 57, Linwood, NJ 08221-2025 | 2017-03-13 |
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| 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.