MANZELLA FAMILY HEALTHCARE PC
NPI 1053398826
Internal Medicine in Jim Thorpe, PA

Active since December 22, 2005CLIA 39D0939755 · Waiver
1353 STATE ROUTE 903, JIM THORPE, PA 18229(570) 325-8393(570) 325-8029 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manzella Family Healthcare Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANZELLA FAMILY HEALTHCARE PC (NPI 1053398826) is a healthcare organization registered as an internal medicine in Jim Thorpe, Pennsylvania and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Victor A Manzella, Owner, as its authorized official.

NPPES Registry Identity

NPI1053398826
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMANZELLA FAMILY HEALTHCARE PC
Location Address1353 STATE ROUTE 903Jim Thorpe, PA 18229-2734
Mailing Address1353 State Route 903Jim Thorpe, PA 18229-2734 · (570) 325-8393 · Fax (570) 325-8029
Fax(570) 325-8029
Organization SubpartNo
Authorized OfficialVictor A ManzellaOwner · (570) 325-8393
Enumeration DateDecember 22, 2005
Last NPPES UpdateApril 4, 2013
NPI 1053398826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1353 STATE ROUTE 903, Jim Thorpe, PA 18229

Other Identifiers 3

Medicare PIN088593PA
Other50056259PA · Capital Blue Cross
Other1753980PA · Blue Cross/ Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0939755

Manzella Family Healthcare · Jim Thorpe, PA
Active · expires Jan 29, 2028
CLIA Number39D0939755
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorEdward D. Manzella
Laboratory Phone(570) 325-8393
Laboratory LocationManzella Family Healthcare1353 State Route 903, Jim Thorpe, PA 18229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1353 STATE ROUTE 903
JIM THORPE, PA 18229
Internal Medicine
1353 STATE ROUTE 903
JIM THORPE, PA 18229
Internal Medicine
1353 STATE ROUTE 903
JIM THORPE, PA 18229
Internal Medicine
1353 STATE ROUTE 903
JIM THORPE, PA 18229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manzella Family Healthcare PC's NPI number?

The NPI number for Manzella Family Healthcare PC is 1053398826. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Manzella Family Healthcare PC located?

Manzella Family Healthcare PC is located at 1353 State Route 903, Jim Thorpe, PA 18229. The listed phone number is (570) 325-8393.

What is Manzella Family Healthcare PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Manzella Family Healthcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0939755) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manzella Family Healthcare PC was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.