Individual provider Active NPI

Christie L Mannino, M.D.

  • Gastroenterology Physician
  • Vineland, NJ
National Provider Identifier
1740611177
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA11019500 Issued in NJ
Practice address
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone
(856) 641-8000
NPI assigned
Dec 11, 2013
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA11019500 NJ Primary
Gastroenterology Physician 207RG0100X DR.0065563 CO
Gastroenterology Physician 207RG0100X 76629 AZ
Gastroenterology Physician 207RG0100X R7268 TX

Addresses

Primary practice location

1505 W Sherman Ave
Vineland, NJ 08360-7059

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

5802 Saratoga Blvd Ste 120
Corpus Christi, TX 78414-4253
Phone (361) 881-3582

Other practice location 2

1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 897-2770

Other practice location 3

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (720) 494-3123

Other practice location 4

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ, MT, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180808000451 TX Practitioner - Gastroenterology 7315295300 Reassigns benefits to 2 organizations
I20210325000859 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 7315295300 Reassigns benefits to 2 organizations
I20240105002577 MT Practitioner - Gastroenterology 7315295300 Reassigns benefits to 2 organizations
I20250528002999 AZ Practitioner - Internal Medicine 7315295300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

1144 N Broadway
Suite C
Billings, MT 59101-0115
Phone (406) 238-6380

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

3 Cooper PLZ
Camden, NJ 08103-1438

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11019500NJMDGastroenterology Physician
R7268TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Mar 21, 2025 Accepting new patients
Yuma Regional Medical Center CurrentSince May 13, 2025 Accepting new patients
Billings Cinic CurrentSince Dec 20, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 29, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 29, 2025 Accepting new patients
Christus Trinity Clinic Texas Gastroenterology CurrentSince May 12, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Gastroenterology CurrentSince Dec 20, 2023 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Dec 18, 2025 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Mar 21, 2025 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 12, 2025 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Feb 1, 2021 Accepting new patients
Seema a Dar, MD PA Gastroenterology CurrentSince Jul 15, 2018 Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

1144 N Broadway
Ste C
Billings, MT 59101
Phone (406) 238-6380

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0880

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

2950 College Dr
Ste 2G
Vineland, NJ 08360
Phone (856) 691-1129

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

5802 Saratoga Blvd
Ste 120
Corpus Christi, TX 78414
Phone (361) 881-3476

19141 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 756-5989

19284 Stone Oak Pkwy
Ste 102
San Antonio, TX 78258
Phone (210) 268-0124

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1740611177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059",
            "telephone_number": "856-641-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5802 Saratoga Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144253",
            "country_code": "US",
            "telephone_number": "361-881-3582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 State Route 33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534859",
            "country_code": "US",
            "telephone_number": "732-897-2770",
            "fax_number": "732-897-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Mountain View Ave",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013128",
            "country_code": "US",
            "telephone_number": "720-494-3123",
            "fax_number": "720-494-3114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNINO",
        "first_name": "CHRISTIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA11019500",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0065563",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "76629",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R7268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.