| Manimala Roy, MD | |
|
1 Bay Ave, Dept Of Pathology, Montclair, NJ 07042-4837 | |
| (973) 429-6164 | |
| (973) 429-6992 |
| Full Name | Manimala Roy |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 48 Years |
| Location | 1 Bay Ave, Montclair, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841355492 | NPI | - | NPPES |
| 0265209 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25MA04863100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Shore University Medical Center | Neptune, NJ | Hospital |
| Ocean Medical Center | Brick, NJ | Hospital |
| Riverview Medical Center | Red bank, NJ | Hospital |
| Southern Ocean Medical Center | Manahawkin, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meridian Laboratory Physicians, Pa | 5193707032 | 17 |
| Entity Name | Meridian Laboratory Physicians, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104903723 PECOS PAC ID: 5193707032 Enrollment ID: O20040603001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Manimala Roy, MD Po Box 144333, Orlando, FL 32814-4333 Ph: (407) 422-9831 | Manimala Roy, MD 1 Bay Ave, Dept Of Pathology, Montclair, NJ 07042-4837 Ph: (973) 429-6164 |
Daniel D Tang, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Dept Of Pathology, Montclair, NJ 07042 Phone: 973-429-6164 Fax: 973-429-6992 | |
Stephen C Kimler, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Dept Of Pathology, Montclair, NJ 07042 Phone: 973-429-6164 Fax: 973-429-6992 |