Individual provider Active NPI

Martin E Manzo, D.C.

  • Chiropractor
  • Manasquan, NJ
National Provider Identifier
1750360244
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NJ3306 Issued in NJ
Practice address
2399 Route 34
Building a Suite 5
Manasquan, NJ 08736-1500
Phone
(732) 528-5533
Fax
(732) 528-0360
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NJ3306 NJ Primary

Addresses

Primary practice location

2399 Route 34
Building a Suite 5
Manasquan, NJ 08736-1500

Mailing address

404 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other identifiers 12

IdentifierTypeStateIssuer
0184062OtherNJAETNA US HEALTHCARE
P549361OtherNJOXFORD
1004122OtherNJCIGNA
208420693OtherNJUNITED HEALTHCARE
208420693OtherNJHORIZON BCBS
208420693OtherNJTAX IDENTIFICATION NUMBER
OK4233OtherNJHEALTH NET
OK6534OtherNJGUARDIAN
1926608MedicaidNJ
222951809OtherNJHORIZON BCBSNJ
21168644851OtherNJBEECH STREET
0105250000OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000110 NJ Practitioner - Chiropractic 2163521139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

2399 Route 34
BLDG A5
Manasquan, NJ 08736-1500
Phone (732) 528-5533

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ3306NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Consensus Medical Group LLC CurrentSince Dec 7, 2021 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
Premier Care Center LLC Chiropractor PastSince Jun 12, 2007 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

2399 Route 34
Bldg A5
Manasquan, NJ 08736
Phone (732) 528-5533

2399 Route 34
Ste 5
Manasquan, NJ 08736
Phone (732) 528-5533

404 Lippincott Dr
Marlton, NJ 08053

Interoperability endpoints

  • Direct secure messaging: martin.manzo.1@18614.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1750360244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ROUTE 34",
            "address_2": "BUILDING A SUITE 5",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361500",
            "telephone_number": "732-528-5533",
            "fax_number": "732-528-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "MARTIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "NJ3306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0184062",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P549361",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1004122",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "208420693",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS",
            "identifier": "208420693",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "208420693",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "OK4233",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN",
            "identifier": "OK6534",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1926608",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBSNJ",
            "identifier": "222951809",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21168644851",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0105250000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.