Healthcare Provider Details

I. General information

NPI: 1659237659
Provider Name (Legal Business Name): MANIS JEAN BAPTISTE BA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 6
SKILLMAN NJ
08558-0006
US

IV. Provider business mailing address

9 HARTWICK DR APT 105
SKILLMAN NJ
08558-1834
US

V. Phone/Fax

Practice location:
  • Phone: 732-777-8846
  • Fax:
Mailing address:
  • Phone: 732-777-8846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: