Organization Active NPI

Medical Intervention for Individuals Addicted Inc.

  • General Practice Physician
  • Somers Point, NJ
National Provider Identifier
1730243122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
208D00000X Issued in NJ
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

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
James J Manlandro, DO
Title
Owner
Phone
(609) 593-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2905809MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.