Individual ProviderMaris ManguiatNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11 Bishop Pl, New Brunswick, NJ 08901-1178(848) 932-7402(908) 307-2818PECOS EnrollmentBased on the most recent information from CMS, provider Maris Manguiat does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1689488512Provider TypeIndividualFull NameManguiat, MarisGenderFemaleSole ProprietorNoEnumeration Date2/3/2025Last Updated2/3/2025Contact InformationPractice LocationPractice Address11 Bishop Pl, New Brunswick, NJ 08901-1178Phone(848) 932-7402FaxUnlisted FaxMailing LocationMailing Address13 Matheson Rd, Whitehouse Station, NJ 08889-5007Phone(908) 307-2818FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ15233200New JerseyCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ15233200New Jersey