GIZELLE MANOAH, PC, INC (NPI# 1225394075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225394075 |
| Entity Type | Organization |
| Organization Name | GIZELLE MANOAH, PC, INC |
| Practice Address |
59 Main St Suite 204 West Orange NJ 07052-5341 |
| Mailing Address |
Po Box 3122 Memorial Station Upper Montclair NJ 07043-3122 |
| Practice Telephone | 9732430220 |
| Mailing Telephone | 9732430220 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |
| Authorized Official Name | ANNE-MARIE GIZELLE GRACIA (PRESIDENT) |
| Authorized Official Telephone | 9732430220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GIZELLEMANOAH, PC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MA58440 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6560610 | 05 |
| Street Address |
59 MAIN ST SUITE 204 |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821024225 | Anna-dahlia M Quintos | Physical Therapist | 59 Main St, 201, West Orange, NJ 07052-5341 | 2006-06-25 |
| 1780152454 | Kathleen Morella Bedeau-francis | Occupational Therapist | 59 Main St, West Orange, NJ 07052-5341 | 2018-11-11 |
| 1760831572 | Raushanah Reid | Counselor | 59 Main St, West Orange, NJ 07052-5341 | 2016-06-13 |
| 1356740153 | Mercy Medical Transport | Ambulance | 59 Main St, Suite 303, West Orange, NJ 07052-5341 | 2014-08-18 |
| 1871914531 | Northfield Podiatry PC | Podiatrist | 59 Main St, Suite 350, West Orange, NJ 07052-5341 | 2013-12-26 |
| 1639506892 | Nj Spine&pain Institute | Pain Medicine | 59 Main St, Suite 353, West Orange, NJ 07052-5341 | 2013-10-02 |
| 1134427784 | Northfield Podiatry PC | Podiatrist | 59 Main St, Suite 350, West Orange, NJ 07052-5341 | 2011-03-07 |
| 1073756037 | Joseph A Dilallo | Internal Medicine | 59 Main St, Suite 110, West Orange, NJ 07052 | 2009-04-07 |
| 1386858637 | Premie Home Health Care Services, Inc. | Nursing Care | 59 Main St, Suite 300, West Orange, NJ 07052-5341 | 2007-05-09 |
| 1669699567 | Patricia Williams Bennett | Podiatrist | 59 Main St, Suite 350, West Orange, NJ 07052-5341 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780117 | Neighborhood Family Clinic and Counseling Center, LLC | Clinic/Center | 46 Crystal Ave, West Orange, NJ 07052-3546 | 2018-11-30 |
| 1245410745 | Goldfarb Chiropractic Center P.a | Clinic/Center | 1339 Pleasant Valley Way, West Orange, NJ 07052-1304 | 2007-11-13 |
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| 1194354407 | Recover Physical Therapy | Clinic/Center | 1501 Old Black Horse Pike Apt F9, Blackwood, NJ 08012-4927 | 2020-04-07 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1205464823 | Fulcrum Performance Lab, LLC | Clinic/Center | 75 S Maple Ave, Marlton, NJ 08053-2032 | 2020-03-30 |
| 1215563887 | Dr Cloyd's Clinical Psychology and Neuropsychology Practice Pllc | Clinic/Center | 1209 Route 70 W, Cherry Hill, NJ 08002-3532 | 2020-03-16 |
| 1144860271 | Sentarus Healthcare Solutions Inc | Clinic/Center | 736 S White Horse Pike, Audubon, NJ 08106-1346 | 2020-01-07 |
| 1497303044 | Sanni Ojibara Training Academy | Clinic/Center | 104 Hillside Ter, Irvington, NJ 07111-1514 | 2019-08-27 |
| 1457907404 | Vitality Wellness Group LLC | Clinic/Center | 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241 | 2019-08-15 |
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1881246676 | Acenda, Inc. | Clinic/Center | 1129 Route 9 S, Cape May Court House, NJ 08210-2752 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.