Marina Mishriky

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102672600 Issued in NJ

Practice address

16 Cornwallis CT
Manalapan, NJ 07726-7917

Phone

(908) 208-1714

NPI assigned

Apr 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1659734879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CORNWALLIS CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CORNWALLIS CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077267917",
            "telephone_number": "908-208-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRIKY",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102672600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102672600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midstate Therapy Associates LLC
• Midwood Surgical Supplies Inc
• Stephanie Madeleine Miller, OT
• Kimberly Minassian, DMD
• Mira Vie at Manalapan Opco LLC (Mira Vie at Manalapan)
• Kavita Mistry
• Alexandra Mitchell
• Jaroslaw Moczerniuk, DPT
• Modern Medical Imaging at Atrium (Atrium Imaging Associates)
• Susan Mohr, LCSW

• General Practice Dentistry in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.