1649476946 NPI number — DR. SONALI RAKESH MANIAR M.D

Table of content: DR. SONALI RAKESH MANIAR M.D (NPI 1649476946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649476946 NPI number — DR. SONALI RAKESH MANIAR M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MANIAR
Provider First Name:
SONALI
Provider Middle Name:
RAKESH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUJRATI
Provider Other First Name:
SONALI
Provider Other Middle Name:
G
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649476946
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 FARMINGDALE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARSIPPANY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07054-3043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-560-0610
Provider Business Mailing Address Fax Number:
973-560-0610

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25 POCONO RD
Provider Second Line Business Practice Location Address:
ST. CLARES HOSPITAL
Provider Business Practice Location Address City Name:
DENVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07834-2954
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-625-6000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  25MA07996200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)