Active NPI
Medical Intervention for Individuals Addicted Inc.
- General Practice Physician
- Somers Point, NJ
National Provider Identifier
1730243122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 208D00000X
- Legal business name
- MEDICAL INTERVENTION FOR INDIVIDUALS ADDICTED INC.
- Practice address
- 408 Bethel Rd
BLDG B Suite 2
Somers Point, NJ 08244-2172 - Phone
- (609) 593-3076
- Fax
- (609) 861-5373
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James J Manlandro, DO
- Title
- Owner
- Phone
- (609) 593-3076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 208D00000X | NJ | Primary |
Addresses
Primary practice location
408 Bethel Rd
BLDG B Suite 2
Somers Point, NJ 08244-2172
Mailing address
408 Bethel Rd
BLDG B Suite 2
Somers Point, NJ 08244-2172
Phone (609) 593-3076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2905809 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
408 Bethel Rd
Ste B-2
Somers Point, NJ 08244
Phone (609) 593-3076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730243122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 BETHEL RD",
"address_2": "BLDG B SUITE 2",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442172",
"telephone_number": "609-593-3076",
"fax_number": "609-861-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 BETHEL RD",
"address_2": "BLDG B SUITE 2",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442172",
"telephone_number": "609-593-3076",
"fax_number": "609-861-5373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL INTERVENTION FOR INDIVIDUALS ADDICTED INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANLANDRO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-593-3076",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NJ",
"license": "208D00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2905809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, 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.