Active NPI
Marina Adly
- Physical Medicine & Rehabilitation Physician
- Manalapan, NJ
National Provider Identifier
1861951584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 40QA01850000
- Practice address
- 300 Corporate Center Dr
Manalapan, NJ 07726-8736 - Phone
- (732) 761-0088
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40QA01850000 | NJ | Primary |
Addresses
Primary practice location
300 Corporate Center Dr
Manalapan, NJ 07726-8736
Mailing address
322 Harvard Oval
Freehold, NJ 07728-5395
Phone (732) 547-9380
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 |
|---|---|---|---|
| 40QA01850000 | NJ | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1861951584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 HARVARD OVAL",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077285395",
"telephone_number": "732-547-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CORPORATE CENTER DR",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268736",
"telephone_number": "732-761-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLY",
"first_name": "MARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "40QA01850000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.