Surgical Specialties of New Jersey, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

25MB06598500 Issued in NJ

Legal business name

SURGICAL SPECIALTIES OF NEW JERSEY, LLC

Practice address

1445 Whitehorse Mercerville Rd
Suite 111
Mercerville, NJ 08619-3834

Phone

(609) 584-1560

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Biagio Manna, D.O.NPI 1881628881

Title

Owner

Phone

(609) 584-1560

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Biagio Manna, DO

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Trenton, NJ
  • NPI 1881628881
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1124304258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3204",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086190204",
            "telephone_number": "609-584-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 111",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-584-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTIES OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "MANNA",
        "authorized_official_first_name": "BIAGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-584-1560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MB06598500",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MB06598500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stawicki and Patnaik Medical Associates, P.C.
• Jesse Joseph Stawicki, D.O.
• Nicholas John Stettner
• William Eric Stubbs, OTR/L
• Glenn Sudnick, PHARMD
• Tammy E. Schuler, LLC
• The Lester a. Drenk Behavioral Health Center, Inc.
• Saraswathi Thirugnanam, MD
• Kimberly Ann Thornton-Britschge, D.C.
• Elizabeth Tozzi

• Vascular Surgery Physician in Mercerville, NJ
• Providers in Mercerville, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.