Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417039132 Individual Practitioner Female Practitioner

Dr. Simone Alexander Manigault , MD

Pediatrics • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Simone Manigault, MD is a registered healthcare professional specializing in Pediatrics in Newark, NJ. Practice services are available at 741 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

741 Broadway

Newark, NJ 071044309

Telephone 9734831300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
89 Specialists

Practicing in Newark, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA08139400

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0115045 (NJ)

Secondary Practice Locations

275 Hobart St

Perth Amboy, NJ 088613396

Phone: 7323769333

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
NPI 1023646130

Doctor of Osteopathic Medicine (D.O.)

Dr. Pauline Walks-Akintobi , MD

Pediatrics - Adolescent Medicine

NPI 1063434447

Doctor of Medicine (M.D.)

Madhuri Ponnaluri

Nurse Practitioner - Pediatrics

NPI 1083387591
Dr. Ganiyat Kareem , DNP

Nurse Practitioner - Family

NPI 1083495477

Doctor of Nursing Practice

Shirley Mcduffie , CNM

Advanced Practice Midwife

NPI 1083656888

Certified Nurse Midwife

Natalie Joseph

Nurse Practitioner - Women's Health

NPI 1154807303

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 13, 2018

Registered at 741 BROADWAY, NEWARK, NJ 071044309 (Tel: 9734831300)

📍
Updated Business Mailing Address December 13, 2018

Registered at 741 BROADWAY, NEWARK, NJ 071044309 (Tel: 9734831300)

📍
Updated Practice Location May 30, 2018

Registered at 80 JOHNSON AVE, NEWARK, NJ 07108 (Tel: 9736238592)

📍
Updated Business Mailing Address May 30, 2018

Registered at 275 HOBART ST, PERTH AMBOY, NJ 088613396 (Tel: 7323769333)

NPI Profile Active July 17, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2007

Registered at 80 JOHNSON AVE, NEWARK, NJ 071082729 (Tel: 9736238592)

📍
Updated Business Mailing Address July 17, 2007

Registered at 184 ROCK AVE, NORTH PLAINFIELD, NJ 070631653 (Tel: 9087565458)

👤
Provider Name / Credentials Updated July 17, 2007

Recorded as SIMONE MANIGAULT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2007

Pediatrics (License #25MA08139400 in NJ)

🟢
Initial NPI Registration & Enumeration October 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417039132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2006
Last Update: December 13, 2018
Sole Proprietor: No

Mailing Address

741 Broadway

Newark, NJ 071044309

Phone: 9734831300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.