Raymond Neil Mancuso, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00284000 Issued in NJ

Practice address

5 Juliustown Rd
Browns Mills, NJ 08015-3628

Phone

(609) 893-7575

NPI assigned

Jun 9, 2006

Last updated

Aug 3, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Centers of America, LLC

  dba Retina Center of New Jersey

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1629019609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080150073",
            "telephone_number": "609-893-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JULIUSTOWN RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080153628",
            "telephone_number": "609-893-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "RAYMOND",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00284000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Vincent Maffetone, PT, DPT, CSCS
• Magoffin Dialysis LLC (Dialysis at Deborah)
• Ushma V Majmudar, MD
• David Maletzky, DO
• Sunanda Malik, D.D.S.
• Ryan Scott Mandell, DO
• Vincent F Marano, PHARMD
• Andrew August Martin, MD
• Lauren Jane McCormick, RPH
• Kristee McGowan, APN

• Optometrist in Browns Mills, NJ
• Providers in Browns Mills, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.