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

Jibin Manimala

Individual provider Physician Assistant · NPI 1427664531

Jibin Manimala is a Physician Assistant in Bronx, New York. Qualified in 2019, 7 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-6444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 025339 (NY)

Record details

NPI number1427664531
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address11 Hillview Pl, Elmsford, NY 10523-2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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