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Deactivated NPI 1033671870 Deactivated / Inactive NPI Male Practitioner

Mathews Mancha

Prosthetist • Tenafly, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mathews Mancha has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 02, 2019
NPI Deactivation Date April 11, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Mathews Mancha was a registered Prosthetist practicing in Tenafly, NJ. Throughout an active medical career spanning 1 years, Mathews Mancha provided care at the practice location at 111 DEAN DR until profile deactivation on 2019-04-11.

Practice Location & Contact Primary Location

Practice Address

111 Dean Dr

Tenafly, NJ 076702764

Telephone 2013173442
Fax 2013532343
Associated Practice Facility / Clinic
🏢 Tenafly Eye Associates Pa Facility NPI 1720144835

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Tenafly, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Tenafly, NJ (22 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

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License NJ 45PO00012400

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Samar Abrar , MD

Psychiatry & Neurology - Psychiatry

NPI 1043236698

Doctor of Medicine (M.D.)

NPI 1124774674

Certified Athletic Trainer, Physical Therapist, Doctor of Physical Therapy

Dr. Vinod Suresh , MD

Psychiatry & Neurology - Psychiatry

NPI 1265747711

Doctor of Medicine (M.D.)

Idania Hernandez

Occupational Therapist

NPI 1386529873
Michal Porath , PT, MS

Physical Therapist

NPI 1407085012

Physical Therapist, Master of Science

NPI 1457247785

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated April 11, 2019

Record deactivated on April 11, 2019

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NPI Profile Deactivated April 10, 2019

Record deactivated on April 10, 2019

NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2019

Registered at 111 DEAN DR, TENAFLY, NJ 076702764 (Tel: 2013173442)

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Updated Business Mailing Address April 02, 2019

Registered at 51 CURTMANTLE RD, MICKLETON, NJ 080561263 (Tel: 2013173442)

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Provider Name / Credentials Updated April 02, 2019

Recorded as MATHEWS MANCHA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Prosthetist (License #45PO00012400 in NJ)

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Initial NPI Registration & Enumeration April 02, 2019

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: 1033671870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2019
Last Update: April 02, 2019
Deactivation Date: April 11, 2019

Mailing Address

51 Curtmantle Rd

Mickleton, NJ 080561263

Phone: 2013173442

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.