Manita Shrestha, NP | |
550 Broad St Ste 606, Newark, NJ 07102-4537 | |
(201) 822-1161 | |
(877) 485-8918 |
Full Name | Manita Shrestha |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 550 Broad St Ste 606, Newark, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063655066 | NPI | - | NPPES |
0904341 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00230100 (New Jersey) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 305032 (New York) | Secondary |
Entity Name | Jls Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164007043 PECOS PAC ID: 7719342005 Enrollment ID: O20230419002320 |
Mailing Address | Practice Location Address |
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Manita Shrestha, NP 29749 Picana Ln Fl 2, Wesley Chapel, FL 33543-6652 Ph: (917) 538-1546 | Manita Shrestha, NP 550 Broad St Ste 606, Newark, NJ 07102-4537 Ph: (201) 822-1161 |
Mr. Michael C Cadorette, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Gateway Ctr Ste 2600, Newark, NJ 07102 Phone: 866-949-0108 | |
Casey Yeonjoo Cho, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6938 | |
Mrs. Kisha Tamara Anderson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Sabitri Nesbitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Marva Monique, Natasha Barbour, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 394 University Ave, Newark, NJ 07102 Phone: 973-877-6171 | |
Debra J Brouwer, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Erin Kissel, A.P.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, 4l, Newark, NJ 07112 Phone: 973-926-7205 |