Healthcare Provider Details

I. General information

NPI: 1912719584
Provider Name (Legal Business Name): MANA HEALTH PARTNERS NJ PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 WHITESVILLE RD STE 103
JACKSON NJ
08527-5097
US

IV. Provider business mailing address

338 WHITESVILLE RD STE 103
JACKSON NJ
08527-5097
US

V. Phone/Fax

Practice location:
  • Phone: 732-552-8922
  • Fax:
Mailing address:
  • Phone: 224-777-8036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MITCH SCHWARZ
Title or Position: DIRECTOR
Credential:
Phone: 224-777-8036