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Contact Information

MANICKAM GANESH, MD
24 PARK AVENUE
WEST ORANGE, NJ07052-5517
 Phone: 973-669-8181
 Fax: 973-669-1687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MANICKAM GANESH · (Male)

NPI Number 1962419838
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA03057000
  • NJ Medicaid 0603406
Hospital affiliation(s)
  • EAST ORANGE GENERAL HOSPITAL - (Acute Care)
    300 CENTRAL AVE
    EAST ORANGE, NJ 07018
  • NEWARK BETH ISRAEL MEDICAL CENTER - (Acute Care)
    201 LYONS AVE
    NEWARK, NJ 07112
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
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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