Individual provider Active NPI

Matthew J Mansey, D.D.S.

  • Dentist
  • Washington, NJ
National Provider Identifier
1831491505
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02460800 Issued in NJ
Practice address
315 W Washington Ave Ste 6
Washington, NJ 07882-2190
Phone
(908) 689-0825
Fax
(908) 689-7456
NPI assigned
Dec 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02460800 NJ Primary

Addresses

Primary practice location

315 W Washington Ave Ste 6
Washington, NJ 07882-2190

Mailing address

315 W Washington Ave Ste 6
Washington, NJ 07882-2190
Phone (908) 689-0825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02460800NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1831491505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W WASHINGTON AVE STE 6",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822190",
            "telephone_number": "908-689-0825",
            "fax_number": "908-689-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W WASHINGTON AVE STE 6",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822190",
            "telephone_number": "908-689-0825",
            "fax_number": "908-689-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSEY",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02460800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.