Provider Demographics
NPI:1568467900
Name:MANSHEIM, SARI (MD)
Entity type:Individual
Prefix:DR
First Name:SARI
Middle Name:
Last Name:MANSHEIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 N FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1139
Mailing Address - Country:US
Mailing Address - Phone:201-236-2100
Mailing Address - Fax:201-236-5269
Practice Address - Street 1:581 N FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1139
Practice Address - Country:US
Practice Address - Phone:201-236-2100
Practice Address - Fax:201-236-5269
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07064500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K0055OtherHEALTHNET ID #
NJP2542124OtherOXFORD ID #
NJ2752656OtherAETNA HMO ID #
NJ7374186OtherAETNA PPO GROUP #
NJ2461037OtherAETNA HMO GROUP #
NJ070AM2OtherEMPRIE BC/BS OF NY ID #
NJ7686284OtherAETNA PPO ID #
NJ2K0055OtherHEALTHNET ID #
NJ054108C7CMedicare ID - Type UnspecifiedMEDICARE ID #
NJH54053Medicare UPIN