MANICKAM GANESH MD NPI 1962419838

NPI Information

  • NPI: 1962419838
  • Provider Name: MANICKAM GANESH, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24 PARK AVENUE
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 669-8181

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NPI Details

Manickam Ganesh, MD is a geriatric medicine internal medicine in West Orange, NJ with 56 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Manickam Ganesh, MD NPI is 1962419838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 PARK AVENUE
WEST ORANGE, NJ
ZIP 07052-517
Phone: (973) 669-8181
Fax: (973) 669-1687

The NPI 1962419838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Insertion of needle into vein (3 years or older) (HCPCS:36410)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)

The enumeration date for this NPI number is 8/2/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine25MA03057000NEW JERSEYNo
2207RG0300XInternal MedicineGeriatric Medicine25MA03057000NEW JERSEYYes
3207RN0300XInternal MedicineNephrology25MA03057000NEW JERSEYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10603406MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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