Manuel R. Morman, PH.D., M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA37695 Issued in NJ

Legal business name

MANUEL R. MORMAN, PH.D., M.D., P.A.

Practice address

47 Orient Way
Rutherford, NJ 07070-2082

Phone

(201) 460-0283

Fax

(201) 460-8084

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Richard Morman, PH.D., M.D.

Title

President

Phone

(201) 460-0283

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1467520882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ORIENT WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702082",
            "telephone_number": "201-460-0283",
            "fax_number": "201-460-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ORIENT WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702082",
            "telephone_number": "201-460-0283",
            "fax_number": "201-460-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL R. MORMAN, PH.D., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "MORMAN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-460-0283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA37695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3175804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.