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

Lauren Manniello, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1447145164

Lauren Manniello, PHYSICIANASSISTANT is a Physician Assistant in Valhalla, New York. Qualified in 2025, 1 year ago. Practices with The Medical Group of New Jersey, a 298-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
1
Licensed in
NJ, NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

100 Woods Rd
Valhalla, NY 10595-1530
Phone: (201) 264-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 261 James Street, Morristown, NJ 07960-6392 — (973) 539-0333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034051 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00954700 (NJ)

Record details

NPI number1447145164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJune 11, 2025
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice The Medical Group Of New Jersey — 298 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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