Jared C Mannello LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JARED C MANNELLO LLC

Practice address

450 Bay Ave Ste 3
Somers Point, NJ 08244-2656

Phone

(609) 350-6680

NPI assigned

Nov 9, 2018

Last updated

Jul 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jared C Mannello, PT DPT OCSNPI 1568726800

Title

Sole Member

Phone

(856) 423-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Charles Mannello, PT, DPT, OCS

  • Physical Therapist
  • Somers Point, NJ
  • NPI 1568726800
  Medicare reassignment Care Compare group Authorized official
• McKenzie Wenrich, PT, DPT

  • Physical Therapist
  • Mays Landing, NJ
  • NPI 1518511948
  Medicare reassignment Care Compare group
• Carly Egrie

  • Physical Therapist
  • Ventnor City, NJ
  • NPI 1043970403
  Medicare reassignment

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1164990933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N DELSEA DR UNIT B",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121637",
            "telephone_number": "856-423-7000",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BAY AVE STE 3",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442656",
            "telephone_number": "609-350-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED C MANNELLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MANNELLO",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "856-423-7700",
        "authorized_official_credential": "PT DPT OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Christine Janes, D.O.
• Meredith P Jankowski, D.O.
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• Physical Therapist in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.