Individual provider Active NPI

Manuel Halcon Moraleda, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Berlin, NJ
National Provider Identifier
1447591656
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01036642A Issued in IN
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

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01036642AOtherINPHYSICIAN LICENSE

Other names 1

  • Dr. Manuel H Moraleda Other name

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

LicenseStateTypeSpecialty
01036642AINMDAnatomic 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.

Verify at the official NPI Registry.