Manooj Prasad DPM LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00292900 Issued in NJ

Legal business name

MANOOJ PRASAD DPM LLC

Practice address

637 River Ave Ste B
Lakewood, NJ 08701-5227

Phone

(732) 987-9950

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manooj Prasad, DPMNPI 1013107184

Title

Owner

Phone

(732) 987-9950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manooj Prasad, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, NJ
  • NPI 1013107184
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1093948051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1899",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087541899",
            "telephone_number": "732-987-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 RIVER AVE STE B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015227",
            "telephone_number": "732-987-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOOJ PRASAD DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "MANOOJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-987-9950",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00292900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mandelbaum, MPH
• Graham Mangini-Harold
• Batsheva Mann, SLP
• Shulamith Mann
• Yisroel Mann
• Devora Mansbach, LCSW
• Rebecca T Mansilla, RDN
• Michael Mantel
• Maple RX LLC (Westgate Pharmacy)
• Maple RX LLC (Westgate Pharmacy)

• Foot & Ankle Surgery Podiatrist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.