Active NPI
Sharad Sunder Mansukani, MD
- Ophthalmology Physician
- Moorestown, NJ
National Provider Identifier
1386980175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD 062217L
- Practice address
- 411 Park LN
Moorestown, NJ 08057-2000 - Phone
- (856) 234-4382
- NPI assigned
- Dec 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD 062217L | PA | Primary |
Addresses
Primary practice location
411 Park LN
Moorestown, NJ 08057-2000
Mailing address
411 Park LN
Moorestown, NJ 08057-2000
Phone (856) 234-4382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 062217L | PA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356307200000",
"number": "1386980175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 PARK LN",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572000",
"telephone_number": "856-234-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 PARK LN",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572000",
"telephone_number": "856-234-4382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSUKANI",
"first_name": "SHARAD",
"middle_name": "SUNDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-24",
"last_updated": "2012-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD 062217L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.