Morganville Medical Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MORGANVILLE MEDICAL ASSOCIATES, LLC

Practice address

119 Avenue at the Commons
Suite 2
Shrewsbury, NJ 07702-4586

Phone

(732) 544-5551

Fax

(732) 544-5559

NPI assigned

Jul 2, 2009

Last updated

Jul 27, 2009By 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

Dr. Sumalatha Mannava, MD

Title

Owner/ Doctor

Phone

(732) 544-5551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1316176084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AVENUE AT THE COMMONS",
            "address_2": "SUITE 2",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024586",
            "telephone_number": "732-544-5551",
            "fax_number": "732-544-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AVENUE AT THE COMMONS",
            "address_2": "SUITE 2",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024586",
            "telephone_number": "732-544-5551",
            "fax_number": "732-544-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANVILLE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "MANNAVA",
        "authorized_official_first_name": "SUMALATHA",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "732-544-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.