Active NPI
Nina Manesh Villalobos
- Neurological Surgery Physician
- Morristown, NJ
National Provider Identifier
1003454158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 26NJ00968900
- Practice address
- 310 Madison Ave Ste 300
Morristown, NJ 07960-6996 - Phone
- (973) 285-7800
- NPI assigned
- Dec 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 26NJ00968900 | NJ | Primary |
Addresses
Primary practice location
310 Madison Ave Ste 300
Morristown, NJ 07960-6996
Mailing address
503 Green Village Rd
Green Village, NJ 07935-3016
Phone (862) 812-9556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00968900 | NJ | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1003454158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 GREEN VILLAGE RD",
"city": "GREEN VILLAGE",
"state": "NJ",
"postal_code": "079353016",
"telephone_number": "862-812-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MADISON AVE STE 300",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606996",
"telephone_number": "973-285-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALOBOS",
"first_name": "NINA",
"middle_name": "MANESH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NJ",
"license": "26NJ00968900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.