Active NPI
Manuel Halcon Moraleda, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Berlin, NJ
National Provider Identifier
1447591656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 01036642A
- Practice address
- 1 Buckingham Dr
Berlin, NJ 08009-9689 - Phone
- (269) 830-5374
- NPI assigned
- Mar 13, 2013
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01036642A | IN | Primary |
Addresses
Primary practice location
1 Buckingham Dr
Berlin, NJ 08009-9689
Mailing address
1 Buckingham Dr
Berlin, NJ 08009-9689
Phone (269) 830-5374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01036642A | Other | IN | PHYSICIAN LICENSE |
Other names 1
- Dr. Manuel H Moraleda
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 |
|---|---|---|---|
| 01036642A | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1447591656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BUCKINGHAM DR",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099689",
"telephone_number": "269-830-5374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BUCKINGHAM DR",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099689",
"telephone_number": "269-830-5374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALEDA",
"first_name": "MANUEL",
"middle_name": "HALCON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-13",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01036642A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "01036642A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MANUEL",
"last_name": "MORALEDA",
"middle_name": "H",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.