Active NPI
Krishnaswamy Manoharan, DVM
- Veterinarian
- Union City, NJ
National Provider Identifier
1861828790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- V104367
- Practice address
- 3714 Kennedy Blvd
Union City, NJ 07087-2585 - Phone
- (201) 863-4072
- Fax
- (201) 902-1373
- NPI assigned
- Sep 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | V104367 | NJ | Primary |
Addresses
Primary practice location
3714 Kennedy Blvd
Union City, NJ 07087-2585
Mailing address
3714 Kennedy Blvd
Union City, NJ 07087-2585
Phone (201) 863-4072
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
| License | State | Type | Specialty |
|---|---|---|---|
| V104367 | NJ | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1861828790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 KENNEDY BLVD",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070872585",
"telephone_number": "201-863-4072",
"fax_number": "201-902-1373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 KENNEDY BLVD",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070872585",
"telephone_number": "201-863-4072",
"fax_number": "201-902-1373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANOHARAN",
"first_name": "KRISHNASWAMY",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "NJ",
"license": "V104367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.