Individual provider Active NPI

Sharon J Manupello, OTR

  • Home Health Agency
  • Marmora, NJ
National Provider Identifier
1629264858
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
46TR00432600 Issued in NJ
Practice address
9 Randolph Blvd
Marmora, NJ 08223-1519
Phone
(609) 390-2672
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 46TR00432600 NJ Primary

Addresses

Primary practice location

9 Randolph Blvd
Marmora, NJ 08223-1519

Mailing address

9 Randolph Blvd
Marmora, NJ 08223-1519
Phone (609) 390-2672

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

State licenses

LicenseStateTypeSpecialty
46TR00432600NJMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1629264858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RANDOLPH BLVD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231519",
            "telephone_number": "609-390-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RANDOLPH BLVD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231519",
            "telephone_number": "609-390-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUPELLO",
        "first_name": "SHARON",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "46TR00432600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.