DR. MANIZHEH G PANAH MD
NPI 1780756049
Specialist in Wayne, NJ
About Dr. Manizheh G Panah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MANIZHEH G PANAH MD (NPI 1780756049) is an individual specialist in Wayne, New Jersey, licensed in New Jersey (MA35836) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Manizheh G Panah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Manizheh Panah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Josephs Healthcare Inc
- 372 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
WAYNE, NJ 07470
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 Manizheh Panah's NPI number?
The NPI number for Manizheh Panah is 1780756049. It was assigned to this individual provider in the NPPES registry on November 14, 2006. The provider is also known as Dr. Manizheh G Panah MD.
Where is Manizheh Panah located?
Manizheh Panah practices at 516 Hamburg Tpke, Wayne, NJ 07470. The listed phone number is (973) 790-0006.
What is Manizheh Panah's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Manizheh Panah enrolled in Medicare?
Yes. Manizheh Panah is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Manizheh Panah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manizheh Panah reassigns Medicare benefits to St. Joseph's Healthcare, Inc. (Paterson, NJ). 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 Manizheh Panah'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 Manizheh Panah was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Manizheh G Panah, MD · NPI 1780756049
Specialist provider in Wayne, New Jersey. Individual provider, active in the CMS NPPES registry since November 14, 2006.
## Identity
- **NPI:** 1780756049 (Entity type: Individual)
- **Enumerated:** November 14, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** MA35836 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 516 HAMBURG TPKE, Wayne, NJ 07470-2062
- **Phone:** (973) 790-0006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Joseph's Healthcare, Inc. (NPI 1497791297, Paterson, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicaid 2059100 (NJ); Medicare UPIN C55777 (NJ); Medicare ID-Type Unspecified 456095 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1780756049) · Data from the CMS NPPES public registry.