Individual provider Active NPI

William J Mann, MD

  • Gynecologic Oncology Physician
  • Neptune, NJ
National Provider Identifier
1801865605
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
25MA07240200 Issued in NJ
Practice address
3520 Route 33
Neptune, NJ 07753-3036
Phone
(732) 897-7944
Fax
(732) 922-8264
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 25MA07240200 NJ Primary

Addresses

Primary practice location

3520 Route 33
Neptune, NJ 07753-3036

Mailing address

3520 Route 33
Neptune, NJ 07753-3036
Phone (732) 897-7944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140814000236 VA Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 5395789879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07240200NJMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Obstetrics and Gynecology Associates P C Past Accepting new patients
Williamsburg Area Medical Assistance Corporation PastSince Apr 1, 2013 Accepting new patients

Organizations & group practices 2

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1801865605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533036",
            "telephone_number": "732-897-7944",
            "fax_number": "732-922-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533036",
            "telephone_number": "732-897-7944",
            "fax_number": "732-922-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NJ",
            "license": "25MA07240200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.