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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Manouchka Jean reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nyu Langone Hospitals
13 mi
Internal Medicine
530 1ST AVE
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 616 clinicians in this Medicare group
NPI 1790975944 (212) 460-0110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
190 S HARRISON ST
EAST ORANGE, NJ 07018
Essex County (973) 674-8373
FOUNDATION PEDIATRICS
Pediatrics
190 S HARRISON ST
EAST ORANGE, NJ 07018
Essex County (973) 674-8373
PAIN RELIEF CENTER OF NJ PC
Chiropractor
190 S HARRISON ST
EAST ORANGE, NJ 07018
Essex County (973) 395-1200
THE BESSIE MAE WOMEN'S HEALTH CENTER
Clinic/Center
190 S HARRISON ST
EAST ORANGE, NJ 07018
Essex County (973) 766-1303
DR. RONKE DOSUNMU MD
Pediatrics
190 S HARRISON ST
EAST ORANGE, NJ 07018
Essex County (973) 674-8373
JUST HEALTHCARE LLC
Clinic/Center
190 S HARRISON ST
EAST ORANGE, NJ 07018
Essex County (646) 666-5758
PEARL AKWAJA APN
Nurse Practitioner (Psychiatric/Mental Health)
190 S HARRISON ST
EAST ORANGE, NJ 07018
Essex County (973) 674-8373

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 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.

Where is Manouchka Jean located?

Manouchka Jean practices at 190 S Harrison St, East Orange, NJ 07018. The listed phone number is (973) 674-8373.

What is Manouchka Jean's specialty?

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

Is Manouchka Jean enrolled in Medicare?

Yes. Manouchka Jean is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Manouchka Jean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manouchka Jean reassigns Medicare benefits to Nyu Langone Hospitals (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manouchka Jean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.