Provider Demographics
NPI:1730251745
Name:SAINI, MANISH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:MANISH
Middle Name:KUMAR
Last Name:SAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 NOMOCO RD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8091
Mailing Address - Country:US
Mailing Address - Phone:732-450-2801
Mailing Address - Fax:732-450-2802
Practice Address - Street 1:1 RIVERVIEW PLZ
Practice Address - Street 2:RIVERVIEW MEDICAL CENTER
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1864
Practice Address - Country:US
Practice Address - Phone:732-450-2801
Practice Address - Fax:732-450-2802
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA65943208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8150800Medicaid