Active NPIIndividual providerSole proprietor

Juan C Manjarrez

Nurse Practitioner in North Haledon, New Jersey

NPI Number1902703317
Practice location
115 N Haledon Ave, North Haledon, NJ 07508-2736
Fax
—
Last updated
October 20, 2026

Juan Carlos Manjarrez is a Nurse Practitioner based in North Haledon, NJ. Juan Carlos Manjarrez practices in North Haledon, NJ. The NPI Number for Juan Carlos Manjarrez is 1902703317 and holds a License No. 26NJ15683300 (NJ). The current practice location address for Juan Carlos Manjarrez is 115 N Haledon Ave, North Haledon, NJ 07508-2736 and can be reached out via phone at 973-634-3014.

Provider Profile Details

NPI Number
1902703317
Provider Name
Juan Carlos Manjarrez
Provider Entity Type
Individual
Gender
Male
Address
115 N Haledon Ave, North Haledon, NJ 07508-2736
Phone Number
973-634-3014
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 20, 2026
Last Update Date
October 20, 2026
Certification Date
October 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 N Haledon Ave
North Haledon, NJ 07508-2736
Zip
07508-2736
Phone Number
973-634-3014
North Haledon, NJ 07508Get directions →

Provider Business Mailing Address Details

Address
115 N Haledon Ave
North Haledon, NJ 07508-2736
City
North Haledon
State
NJ
Zip
07508-2736
Phone Number
973-634-3014

License Information

License Number
26NJ15683300
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · 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 Juan C Manjarrez?

The NPI number of Juan C Manjarrez is 1902703317. It was assigned on October 20, 2026 and is currently active in the NPPES registry.

What is the specialty of Juan C Manjarrez?

Juan C Manjarrez is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ15683300.

Where does Juan C Manjarrez practice?

The practice location is 115 N Haledon Ave, North Haledon, NJ 07508-2736. The office can be reached at 973-634-3014 (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 1902703317 directly on the NPPES registry website.

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