Individual provider Active NPI

Aurora Maranan Paranal, M.D.

  • Psychiatry Physician
  • Glen Gardner, NJ
National Provider Identifier
1679655344
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA55039 Issued in NJ
Practice address
200 Sanatorium Rd
Glen Gardner, NJ 08826-3288
Phone
(908) 537-2141
Fax
(908) 537-3100
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA55039 NJ Primary

Addresses

Primary practice location

200 Sanatorium Rd
Glen Gardner, NJ 08826-3288

Mailing address

71 Sandpiper Dr
Manalapan, NJ 07726-3671
Phone (732) 446-7963

Other identifiers 2

IdentifierTypeStateIssuer
716778C2FOtherNJMEDICARE BILLING NO.
4508203MedicaidNJ

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA55039NJMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1679655344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SANDPIPER DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263671",
            "telephone_number": "732-446-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANATORIUM RD",
            "city": "GLEN GARDNER",
            "state": "NJ",
            "postal_code": "088263288",
            "telephone_number": "908-537-2141",
            "fax_number": "908-537-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARANAL",
        "first_name": "AURORA",
        "middle_name": "MARANAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA55039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NO.",
            "identifier": "716778C2F",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4508203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Gardner, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.