Active NPI
Manjiri Bhate Mathur, D.M.D.
- Periodontics
- Hillsborough, NJ
National Provider Identifier
1104020999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2267500
- Practice address
- 207 Omni Dr
Hillsborough, NJ 08844-4525 - Phone
- (908) 292-8050
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2267500 | NJ | Primary |
Addresses
Primary practice location
207 Omni Dr
Hillsborough, NJ 08844-4525
Mailing address
207 Omni Dr
Hillsborough, NJ 08844-4525
Phone (908) 292-8050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150622001481 | NJ | Order and Referring Only - Dentist | 9032420781 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2267500 | NJ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1104020999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 OMNI DR",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088444525",
"telephone_number": "908-292-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 OMNI DR",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088444525",
"telephone_number": "908-292-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "MANJIRI",
"middle_name": "BHATE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "2267500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NJ
- Susan N Martinez, LCSW
- Daniel George Marulli, D.D.S.
- Matheny School and Hospital (Matheny Medical and Educational Center)
- Matheny School and Hospital (Hillsborough Day Program)
- Kenneth Mathisen, PH.D.
- Robert Edward Matros, D.C.
- Mayuri Medical Center Limited Liability Company
- John W Mazellan, LCSW
- Dana Mazza, LSW
- Bailey McAlarnen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.