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

Manickam Ganesh, MD

Individual provider Internal Medicine Physician · NPI 1962419838

Manickam Ganesh, MD is an Internal Medicine in West Orange, New Jersey. Qualified in 1970, 56 years ago. Practices with Manickam Ganesh MD PA, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
56
Licensed in
NJ
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 25MA03057000 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA03057000 (NJ)
Nephrology Physician Taxonomy 207RN0300X · Licence 25MA03057000 (NJ)

Record details

NPI number1962419838
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address5 Eccleston Court, Montville, NJ 07045-9663

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Group practice Manickam Ganesh Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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