Michael John Manole, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01551000 Issued in NJ

Practice address

248 South Summit Avenue
Hackensack, NJ 07601

Phone

(201) 342-0770

Fax

(201) 342-7529

NPI assigned

Oct 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396821534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 SOUTH SUMMIT AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-342-0770",
            "fax_number": "201-342-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 SOUTH SUMMIT AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-342-0770",
            "fax_number": "201-342-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01551000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Ruth Esperanza Manglicmot, M.D
• Carmel-Ann Mania, DC
• Hussain Mehdi Manji, M.D.
• Ciaran M Mannion, MD
• Joseph Manno, MD
• Vinita Manoraj, MD
• Manoucher Katebian, M.D. PA
• Qaiser Mansoor, MBBS, MD
• Ahmed Mansour, NP
• Hope Manuel, P.T.

• General Practice Dentistry in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.