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

Manisha Nidamarthy

Individual provider Nurse Practitioner · NPI 1366176398

Manisha Nidamarthy is a Nurse Practitioner in Camden, New Jersey. Qualified in 2021, 5 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1000 Atlantic Ave
Camden, NJ 08104-1132
Phone: (856) 246-3542
Fax: (856) 246-3528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 1366176398 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 1366176398 (NJ)

Record details

NPI number1366176398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2022
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197

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 Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Camden