1. Home
  2. Directory
  3. New Jersey
  4. West Orange
  5. Internal Medicine
  6. NPI Profile

MANICKAM GANESH M.D., P.A.
NPI 1831384486
Internal Medicine in West Orange, NJ

Active since September 06, 2007
24 PARK AVE, WEST ORANGE, NJ 07052(973) 669-8181(973) 669-1687 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Manickam Ganesh M.d., P.a. NPPES

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

MANICKAM GANESH M.D., P.A. (NPI 1831384486) is a healthcare organization registered as an internal medicine in West Orange, New Jersey and active in the NPI registry since September 2007. The organization lists Manickam Ganesh, President, as its authorized official.

NPPES Registry Identity

NPI1831384486
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMANICKAM GANESH M.D., P.A.
Location Address24 PARK AVEWest Orange, NJ 07052-5517
Mailing Address5 Eccleston CtMontville, NJ 07045-9663 · (973) 669-8181 · Fax (973) 669-1687
Phone(973) 669-8181
Fax(973) 669-1687
Organization SubpartNo
Authorized OfficialManickam GaneshPresident · (973) 669-8181
Enumeration DateSeptember 6, 2007
✔ NPI 1831384486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA03057000
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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 25MA03057000 (NJ)
24 PARK AVE, West Orange, NJ 07052
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND06697NJ
Medicare PIN028676NJ
Medicaid2957604NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manickam Ganesh M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Manickam Ganesh M.D., P.A., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kalyani Theivanayagam, M.D.
Internal Medicine
NPI 1598878910
276 WOODLAND AVE
Summit, NJ 07901
(973) 669-8181
✔ PECOS✔ Accepts Medicare8.1 mi
Manickam Ganesh, MD
Internal Medicine
NPI 1962419838
24 PARK AVENUE
West Orange, NJ 07052
(973) 669-8181
✔ PECOS✔ Accepts Medicare

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

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 Manickam Ganesh M.D., P.A.'s NPI number?

The NPI number for Manickam Ganesh M.D., P.A. is 1831384486. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Manickam Ganesh M.D., P.A. located?

Manickam Ganesh M.D., P.A. is located at 24 Park Ave, West Orange, NJ 07052. The listed phone number is (973) 669-8181.

What is Manickam Ganesh M.D., P.A.'s specialty?

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

Is Manickam Ganesh M.D., P.A. enrolled in Medicare?

Yes. Manickam Ganesh M.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manickam Ganesh M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Manickam Ganesh M.D., P.A.. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Manickam Ganesh M.D., P.A. was last updated on September 6, 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.