Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manickam Ganesh MD, PA

Organization Internal Medicine Physician · NPI 1831384486

Manickam Ganesh MD, PA is an Internal Medicine Physician in West Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 Park Ave
West Orange, NJ 07052-5517
Phone: (973) 669-8181
Fax: (973) 669-1687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA03057000 (NJ)
Nephrology Physician Taxonomy 207RN0300X · Licence 25MA03057000 (NJ)

Record details

NPI number1831384486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manickam Ganesh — President · (973) 669-8181
NPI enumeratedSeptember 6, 2007
Last updated in NPPESSeptember 6, 2007
Mailing address5 Eccleston Ct, Montville, NJ 07045-9663

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