Organization Active NPI

Robert J Manoli OD and Associates PC

  • Optometrist
  • Rio Grande, NJ
National Provider Identifier
1790702710
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROBERT J MANOLI OD AND ASSOCIATES PC
Practice address
3159 RT. 9 South
Walmart Vision Center
Rio Grande, NJ 08242-1012
Phone
(609) 465-7552
Fax
(609) 465-7704
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Robert Joseph Manoli, OD
Title
President
Phone
(609) 465-7552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3159 RT. 9 South
Walmart Vision Center
Rio Grande, NJ 08242-1012

Mailing address

3159 RT. 9 South
Rio Grande, NJ 08242-1012
Phone (609) 465-7552

Other identifiers 2

IdentifierTypeStateIssuer
44427OtherPADAVIS VISION
117672OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3150 Route 9 S
Rio Grande, NJ 08242

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1790702710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 RT. 9 SOUTH",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421012",
            "telephone_number": "609-465-7552",
            "fax_number": "609-465-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 RT. 9 SOUTH",
            "address_2": "WALMART VISION CENTER",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421012",
            "telephone_number": "609-465-7552",
            "fax_number": "609-465-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J MANOLI OD AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "MANOLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-465-7552",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44427",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "117672",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.