Active NPI
Manuel G Munro, SOCIAL WORKER
- Social Worker
- Union City, NJ
National Provider Identifier
1114288156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 090943
- Practice address
- 4905 Park Ave
2B
Union City, NJ 07087 - Phone
- (201) 370-8005
- NPI assigned
- Jun 6, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 090943 | NY | Primary |
Addresses
Primary practice location
4905 Park Ave
2B
Union City, NJ 07087
Mailing address
4905 Park Ave Apt 2B
Union City, NJ 07087-7216
Phone (201) 370-8005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090943 | Other | NY | LMSW |
Other names 1
- Mr. Manuel G Munro
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090943 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1114288156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 PARK AVE APT 2B",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070877216",
"telephone_number": "201-370-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 PARK AVE",
"address_2": "2B",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "07087",
"telephone_number": "201-370-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNRO",
"first_name": "MANUEL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "090943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMSW",
"identifier": "090943",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MANUEL",
"last_name": "MUNRO",
"middle_name": "G",
"prefix": "MR.",
"credential": "SOCIAL WORKER, LMSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.