Individual provider Active NPI

Manhong Ma, MD

  • Dermatology Physician
  • Neptune, NJ
National Provider Identifier
1164472965
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA07969800 Issued in NJ
Practice address
26 Highway 35 N
Neptune, NJ 07753
Phone
(732) 456-7777
Fax
(848) 251-2189
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA07969800 NJ Primary

Addresses

Primary practice location

26 Highway 35 N
Neptune, NJ 07753

Mailing address

1580 Lakewood Rd Ste 16
Toms River, NJ 08755-3287
Phone (732) 456-7777

Other identifiers 4

IdentifierTypeStateIssuer
105531OtherNJMEDICARE PTAN
0310557MedicaidNJ
1120360OtherNJAMERIGROUP
P5493786OtherOXFORD

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
I20070111000105 NJ Practitioner - Dermatology 1052378502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Certified Dermatology PCGroup PAC ID 9931492287, 38 clinicians

Practice addresses (Care Compare)

200 Perrine Rd
Suite 226
Old Bridge, NJ 08857-2871
Phone (732) 456-7777

2275 Route 33
Suite 303
Hamilton, NJ 08690-1748
Phone (732) 456-7777

271 S New Prospect Rd
Jackson, NJ 08527-1736
Phone (732) 456-7777

540 Lacey Rd
Forked River, NJ 08731-1532
Phone (732) 456-7777

65 Lacey Rd
Suite F
Whiting, NJ 08759-2985
Phone (732) 456-7777

Merit-based Incentive Payment System (MIPS)

Final score
94.26 of 100Reported as group
Quality
93.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of skin lesions2282
Removal or shaving of skin growth54
Skin biopsy464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07969800NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC Dermatology CurrentSince Aug 1, 2016 Accepting new patients
NJ Certified Dermatology PC Dermatology Past Accepting new patients

Locations

271 S New Prospect Rd
Ste 4
Jackson, NJ 08527

26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299

200 Perrine Rd
Ste 226
Old Bridge, NJ 08857

242 Old New Brunswick Rd
Ste 110
Piscataway, NJ 08854

1580 Lakewood Rd
Ste 16
Toms River, NJ 08755

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

2446 Church Rd
Ste 2A
Toms River, NJ 08753
Phone (732) 255-6566

2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100

65 Lacey Rd
Ste F
Whiting, NJ 08759
Phone (732) 840-0600

Organizations & group practices 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1164472965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD STE 16",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HIGHWAY 35 N",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "MANHONG",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07969800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "105531",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310557",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1120360",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P5493786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.