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DR. SIMONE ALEXANDER MANIGAULT MD
NPI 1417039132
Pediatrics in Newark, NJ

Active since October 20, 2006PECOS Enrolled
741 BROADWAY, NEWARK, NJ 07104(973) 483-1300 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Simone Alexander Manigault Md NPPES

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

DR. SIMONE ALEXANDER MANIGAULT MD (NPI 1417039132) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (25MA08139400) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Perth Amboy.

NPPES Registry Identity

NPI1417039132
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SIMONE ALEXANDER MANIGAULTCredential: MD
Location Address741 BROADWAYNewark, NJ 07104-4309
Mailing Address741 BroadwayNewark, NJ 07104-4309 · (973) 483-1300 · Fax (973) 676-1396
Phone(973) 483-1300
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateDecember 13, 2018
✔ NPI 1417039132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA08139400
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
741 BROADWAY, Newark, NJ 07104
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Secondary Practice Location 1

Location 1275 Hobart StPerth Amboy, NJ 08861-3396 · Phone (732) 376-9333

Other Identifiers 1

Medicaid0115045NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Simone Alexander Manigault Md 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 07104 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 20

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

DR. XIAONING JOANIE ZHU MD
Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 481-1300
MS. JORANE BONHEUR APN
Nurse Practitioner (Adult Health)
741 BROADWAY
NEWARK, NJ 07104
Essex County (800) 994-6242
PAULINE A WALKS-AKINTOBI MD
Pediatrics (Adolescent Medicine)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
MADHURI PONNALURI
Nurse Practitioner (Pediatrics)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
DR. GANIYAT TOLANI KAREEM DNP
Nurse Practitioner (Family)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
SHIRLEY MCDUFFIE CNM
Advanced Practice Midwife
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300
LUIS ALZATE-DUQUE M.D.
Internal Medicine
741 BROADWAY
NEWARK, NJ 07104
Essex County (201) 675-1900
NATALIE JOSEPH
Nurse Practitioner (Women's Health)
741 BROADWAY
NEWARK, NJ 07104
Essex County (973) 483-1300

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 Simone Manigault's NPI number?

The NPI number for Simone Manigault is 1417039132. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Simone Manigault located?

Simone Manigault practices at 741 Broadway, Newark, NJ 07104. The listed phone number is (973) 483-1300.

What is Simone Manigault's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Simone Manigault enrolled in Medicare?

Yes. Simone Manigault is registered in the Medicare PECOS enrollment system.

What insurance does Simone Manigault accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Simone Manigault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simone Manigault was last updated on December 13, 2018. 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.