Anthony Mancino, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11320 Issued in NJ

Practice address

3350 Rte 138
Wall Township, NJ 07719-9693

Phone

(732) 556-9600

NPI assigned

May 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19096/brand/1/csg/1/fhir/r4

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.

• Comprehensive & Cosmetic & General Dististry

  • Dentist
  • Wall Township, NJ
  • NPI 1104930668
  NPD (past) Authorized official

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1144608530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 RTE 138",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199693",
            "telephone_number": "732-556-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RTE 138",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199693",
            "telephone_number": "732-556-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "11320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Robert Lynn, PSY D.
• M H Al - Asha MD PA
• William W Maggio, M.D.
• Margaret Malane
• Alexandra Malone
• Carl M Marchetti, M.D.
• Ulanda Marcus-Aiyeku, PMHNP-BC
• Ann Maresca, PA C
• Adrienne Marler
• Callie Martin, RBT

• Dentist in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.