National Provider Identifier Database

MANICKAM GANESH, MD – NPI #1962419838
Geriatric Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.


Contact Information

MANICKAM GANESH, MD
24 PARK AVENUE
WEST ORANGE, NJ07052-5517
Phone: 973-669-8181
Fax: 973-669-1687
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207RG0300X
Internal Medicine 207R00000X
Nephrology 207RN0300X

* Indicates primary specialty

NPI Profile & details for MANICKAM GANESH

NPI Number 1962419838
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA03057000
  • NJ Medicaid: 0603406
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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