Active NPIIndividual providerSole proprietor

Ilya Manevich, MD

Anesthesiology in Manahawkin, New Jersey

NPI Number1093997975
Practice location
1140 Route 72 W, Manahawkin, NJ 08050-2412
Fax
—
Last updated
January 12, 2009

Ilya Manevich is an Anesthesiology based in Manahawkin, NJ. Ilya Manevich practices in Manahawkin, NJ and has the professional credentials of MD. The NPI Number for Ilya Manevich is 1093997975 and holds a License No. 25MA08285400 (NJ). The current practice location address for Ilya Manevich is 1140 Route 72 W, Manahawkin, NJ 08050-2412 and can be reached out via phone at 609-978-8900.

Provider Profile Details

NPI Number
1093997975
Provider Name
Ilya Manevich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1140 Route 72 W, Manahawkin, NJ 08050-2412
Phone Number
609-978-8900
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 3, 2007
Last Update Date
January 12, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1140 Route 72 W
Manahawkin, NJ 08050-2412
Zip
08050-2412
Phone Number
609-978-8900
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
125 Paterson St
Suite 3100
New Brunswick, NJ 08901-1962
City
New Brunswick
State
NJ
Zip
08901-1962
Phone Number
732-235-7827
Fax Number
732-235-6131

License Information

License Number
25MA08285400
License State
NJ
Taxonomy
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ilya Manevich, MD?

The NPI number of Ilya Manevich, MD is 1093997975. It was assigned on December 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Ilya Manevich, MD?

Ilya Manevich, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number 25MA08285400.

Where does Ilya Manevich, MD practice?

The practice location is 1140 Route 72 W, Manahawkin, NJ 08050-2412. The office can be reached at 609-978-8900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093997975 directly on the NPPES registry website.

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