Individual provider Active NPI

Simin Manii, DMD

  • General Practice Dentistry
  • Hamilton, NJ
National Provider Identifier
1386710911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01788200 Issued in NJ
Practice address
445 Whitehorse Ave
Suite 201
Hamilton, NJ 08610
Phone
(609) 585-1011
Fax
(609) 585-1046
NPI assigned
Nov 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01788200 NJ Primary

Addresses

Primary practice location

445 Whitehorse Ave
Suite 201
Hamilton, NJ 08610

Mailing address

445 Whitehorse Ave
Suite 201
Hamilton, NJ 08610
Phone (609) 585-1011

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224002721 NJ Order and Referring Only - DentistPractitioner - Dentist 8527363837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386710911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WHITEHORSE AVE",
            "address_2": "SUITE 201",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08610",
            "telephone_number": "609-585-1011",
            "fax_number": "609-585-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WHITEHORSE AVE",
            "address_2": "SUITE 201",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08610",
            "telephone_number": "609-585-1011",
            "fax_number": "609-585-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANII",
        "first_name": "SIMIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01788200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.