Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirsten L Manzo, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1114685013

Kirsten L Manzo, ACNPC-AG is a Nurse Practitioner in Paterson, New Jersey. Qualified in 2021, 5 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 999 McBride Ave # B, Woodland Park, NJ 07424-2570 — (973) 256-5667

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ01243100 (NJ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 26NJ01243100 (NJ)

Record details

NPI number1114685013
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedDecember 8, 2021
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Paterson