Individual provider Active NPI

Sunita Singh Mann, M.D.

  • Specialist
  • Brick, NJ
National Provider Identifier
1437154069
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA63310 Issued in NJ
Practice address
1608 Route 88 W
Ste 102
Brick, NJ 08724-3009
Phone
(732) 849-0077
Fax
(732) 849-0015
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA63310 NJ Primary

Addresses

Primary practice location

1608 Route 88 W
Ste 102
Brick, NJ 08724-3009

Mailing address

PO Box 397
Whiting, NJ 08759-0397
Phone (732) 849-0077

Other identifiers 1

IdentifierTypeStateIssuer
8213305MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000891 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional RadiologyPractitioner - Other (Physician) 1759370026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA63310NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Medical Center, LLC Specialist CurrentSince Nov 1, 2012 Accepting new patients
Hillsborough Radiology Associates, LLC Past Accepting new patients
Jersey Shore Surgery and Vein Center, LLC Past Accepting new patients
Mann Anesthesia PA Past Accepting new patients
Associated Radiologists PA Past Accepting new patients
Hillsborough Radiology Centers, LLC PastSince Dec 1, 2016 Accepting new patients

Locations

1608 Route 88 W
Ste 102
Brick, NJ 08724
Phone (732) 240-6606

780 Route 37 W
Ste 110
Toms River, NJ 08755
Phone (732) 341-3500

100 State Route 36
Ste 2F
West Long Branch, NJ 07764

1100 Route 70
Whiting, NJ 08759
Phone (732) 886-4955

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CADGCA/Endpoint/CADGCA

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1437154069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087590397",
            "telephone_number": "732-849-0077",
            "fax_number": "732-849-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 W",
            "address_2": "STE 102",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-849-0077",
            "fax_number": "732-849-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "SUNITA",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA63310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8213305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.