DR. TYLER CORY MANIS (NPI# 1346654142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346654142 |
| Entity Type | Individual |
| Full Name | DR. TYLER CORY MANIS |
| Credential | M.D. |
| Practice Address |
703 Main St Paterson NJ 07503-2621 |
| Mailing Address |
500 Winderley Pl Ste 115 Maitland FL 32751-7406 |
| Practice Telephone | 3212176797 |
| Mailing Telephone | 4078750555 |
| Mailing Fax Number | 4078750244 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 1346654142 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
703 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192269 | Subhashree Datta Bhutada | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1629684048 | Michelle Szerling | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-21 |
| 1851905822 | Ijeoma Christiana Onyeagocha | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-07 |
| 1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
| 1639782030 | Claudio Sam Santos | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-25 |
| 1720690688 | Sewar Hisham Abuarqob | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-20 |
| 1336750413 | Trixie Kioko-kamps | Midwife | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-12 |
| 1548870538 | Kristina Scott | Dietitian, Registered | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-04 |
| 1972112530 | Devon Marie Cavazos | Social Worker | 703 Main St, Paterson, NJ 07503-2691 | 2020-07-29 |
| 1225656408 | Dinesh Parmar | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447541768 | Eric Steinberg | Emergency Medicine | 703 Main St # 703, Paterson, NJ 07503-2621 | 2011-04-20 |
| 1457593196 | Coral Diagnostics, LLC | Emergency Medicine | 684 Market St, Paterson, NJ 07513-1231 | 2009-03-26 |
| 1669588422 | Fred Revoredo | Emergency Medicine | 425 15th Ave, Paterson, NJ 07504-1811 | 2006-08-22 |
| 1568982957 | Raymond B Isenburg | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2017-06-27 |
| 1760833735 | Navtarunjot Singh | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-30 |
| 1679924773 | Hima Khamar | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-29 |
| 1215388525 | Nicholas Mota | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-28 |
| 1417308859 | Kerri Clayton | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2016-06-27 |
| 1215313812 | Katrina D'amore | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2015-08-05 |
| 1578947420 | Yenisleidy Paez Perez | Emergency Medicine | 703 Main St, Paterson, NJ 07503-2621 | 2015-07-09 |
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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.