Individual provider Active NPI

Manit Roy, D.O.

  • Internal Medicine Physician
  • Piscataway, NJ
National Provider Identifier
1124478441
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB10472800 Issued in NJ
Practice address
250 Stelton Rd Ste 4
Piscataway, NJ 08854-3285
Phone
(732) 855-9006
NPI assigned
Jun 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB10472800 NJ Primary

Addresses

Primary practice location

250 Stelton Rd Ste 4
Piscataway, NJ 08854-3285

Mailing address

1515 22ND Ave N
St Petersburg, FL 33704-3113
Phone (727) 322-4227

Other practice location 1

901 Route 23 Ste 2
Pompton Plains, NJ 07444-1038
Phone (862) 666-9285

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828001080 NJ Practitioner - Internal Medicine 1254669351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Medical ProfessionalsGroup PAC ID 3173054210, 2 clinicians

Practice addresses (Care Compare)

250 Stelton Rd
Suite 4
Piscataway, NJ 08854-3285
Phone (732) 885-9006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Professionals Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients

Locations

250 Stelton Rd
Ste 4
Piscataway, NJ 08854
Phone (732) 855-9006

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1124478441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 22ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043113",
            "telephone_number": "727-322-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STELTON RD STE 4",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543285",
            "telephone_number": "732-855-9006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Route 23 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441038",
            "country_code": "US",
            "telephone_number": "862-666-9285",
            "fax_number": "862-666-9825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "MANIT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10472800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.