Michael Joseph Panella, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00581000 Issued in NJ

Practice address

2414 Route 34
Suite 103
Manasquan, NJ 08736

Phone

(732) 887-0701

NPI assigned

Sep 6, 2017

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700304086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 ROUTE 34 STE 103",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361808",
            "telephone_number": "732-887-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 ROUTE 34",
            "address_2": "SUITE 103",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-887-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANELLA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00581000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Spine Institute, PA
• Orthopaedic Trauma Institute PA
• OT Time LLC
• Darleen A Palmizio, MSW LCSW
• Gregory Scott Panasuk, D.C.
• Frederic Paperth, DMD
• Matthew Parker, PT
• M Kathleen Parte-Willbergh, M.A.
• Jacqueline Marisa Passariello, APN/RNFA
• Hiren Ramesh Patel, MD

• Psychologist in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.