Active NPI
Matthew Richard Manzi, PHARMD
- Pharmacist
- Marlboro, NJ
National Provider Identifier
1861026411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03866800
- Practice address
- 1890 NJ-88
Marlboro, NJ 08724 - Phone
- (732) 972-2309
- NPI assigned
- Feb 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03866800 | NJ | Primary |
Addresses
Primary practice location
1890 NJ-88
Marlboro, NJ 08724
Mailing address
1 Hickory LN
Freehold, NJ 07728-1588
Phone (732) 735-9714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI03866800 | Other | NJ | PHARMACIST LICENSE |
| 28RJ07444 | Other | NJ | IMMUNIZATION APPROVAL |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03866800 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1861026411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HICKORY LN",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077281588",
"telephone_number": "732-735-9714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 NJ-88",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-972-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZI",
"first_name": "MATTHEW",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-22",
"last_updated": "2023-08-14",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03866800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "28RI03866800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMMUNIZATION APPROVAL",
"identifier": "28RJ07444",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.