Organization Active NPI

Shore ENT and Facial Plastics, PA

  • Otolaryngology Physician
  • Jackson, NJ
National Provider Identifier
1679655138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SHORE ENT AND FACIAL PLASTICS, PA
Practice address
161 Bartley Rd
Jackson, NJ 08527-1241
Phone
(732) 961-8061
Fax
(732) 886-2260
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anoli Maniar, MD
Title
Owner
Phone
(732) 961-8061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

161 Bartley Rd
Jackson, NJ 08527-1241

Mailing address

161 Bartley Rd
Jackson, NJ 08527-1241
Phone (732) 961-8061

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679655138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BARTLEY RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271241",
            "telephone_number": "732-961-8061",
            "fax_number": "732-886-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BARTLEY RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271241",
            "telephone_number": "732-961-8061",
            "fax_number": "732-886-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ENT AND FACIAL PLASTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANIAR",
        "authorized_official_first_name": "ANOLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-961-8061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.