Individual provider Active NPI

Gregory P. Manzullo, M.D.

  • Hematology & Oncology Physician
  • Toms River, NJ
National Provider Identifier
1811009558
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA05812800 Issued in NJ
Practice address
100 Commons Way
BLD. A100
Toms River, NJ 08755-6426
Phone
(732) 818-7561
Fax
(732) 818-7510
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA05812800 NJ Primary

Addresses

Primary practice location

100 Commons Way
BLD. A100
Toms River, NJ 08755-6426

Mailing address

100 Commons Way
BLD. A100
Toms River, NJ 08755-6426
Phone (732) 818-7561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050616000039 NJ Practitioner - Hematology 5496799835 Practice locations: Sea Girt, NJ; Toms River, NJ

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1811009558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMONS WAY",
            "address_2": "BLD. A100",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556426",
            "telephone_number": "732-818-7561",
            "fax_number": "732-818-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMONS WAY",
            "address_2": "BLD. A100",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556426",
            "telephone_number": "732-818-7561",
            "fax_number": "732-818-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZULLO",
        "first_name": "GREGORY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA05812800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.