Mario Anibal Mancheno, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA03336800 Issued in NJ

Practice address

422 Grand Street
Hoboken, NJ 07030

Phone

(201) 656-8743

Fax

(201) 319-0867

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mario.mancheno@gandsmedassociatesllc.ehi.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G&S Medical Associates LLC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1982982336
  Medicare reassignment NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417041013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 GRAND STREET",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "201-656-8743",
            "fax_number": "201-319-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 GRAND STREET",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "201-656-8743",
            "fax_number": "201-319-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHENO",
        "first_name": "MARIO",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03336800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3939707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghada Mahmoud
• Tara Jill Mahpour, DMD
• Gabriela Majcher, PT, DPT
• Brynanne Anderson Malcolm, DPT
• Kathy L. Mallow, M.S.W.
• Lauren Elizabeth Manhart, PA-C
• Sheryl Maniar, MPT
• Nell Percy Manning, PH.D.
• Stephanie Manning, PSY.D.
• Jasmine D Mansuri, RPH

• Surgery Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Surgery Physician 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.