MANOUCHKA JEAN DNP, APN, CPNP
NPI 1396300265
Nurse Practitioner - Pediatrics in East Orange, NJ

Q: What is Manouchka Jean's NPI number?

The NPI number for Manouchka Jean is 1396300265. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Q: What is Manouchka Jean's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Manouchka Jean was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 07, 2019PECOS Enrolled

190 S HARRISON ST, EAST ORANGE, NJ 07018(973) 674-8373(973) 552-2805 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Manouchka Jean Dnp, Apn, Cpnp NPPES

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

MANOUCHKA JEAN DNP, APN, CPNP (NPI 1396300265) is an individual pediatrics provider in East Orange, New Jersey, licensed in New Jersey (26NJ00908300) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396300265

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMANOUCHKA JEANCredential: DNP, APN, CPNP

Location Address190 S HARRISON STEast Orange, NJ 07018-1502

Mailing Address1425 Clover LnScotch Plains, NJ 07076-2830 · (908) 553-8787

Phone(973) 674-8373

Fax(973) 552-2805

Sole ProprietorNo

Enumeration DateMay 7, 2019

✔ NPI 1396300265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NJ · 26NJ00908300

190 S HARRISON ST, East Orange, NJ 07018

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manouchka Jean Dnp, Apn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 7

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

FIZZAH EHSAN PA-C

Physician Assistant