Provider Demographics
NPI:1366438210
Name:MANASSE, JOSIANNE (OD)
Entity type:Individual
Prefix:DR
First Name:JOSIANNE
Middle Name:
Last Name:MANASSE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 ROUTE 10 EAST
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936
Mailing Address - Country:US
Mailing Address - Phone:973-781-0800
Mailing Address - Fax:973-781-0045
Practice Address - Street 1:389 ROUTE 10 EAST
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936
Practice Address - Country:US
Practice Address - Phone:973-781-0800
Practice Address - Fax:973-781-0045
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJDA5745152W00000X
NJDA1143152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8624208Medicaid
3685183OtherAETNA
U89259Medicare UPIN
3685183OtherAETNA