Organization Active NPI

Atlantic Medicine and Wellness LLC

  • Internal Medicine Physician
  • Manasquan, NJ
National Provider Identifier
1881822161
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATLANTIC MEDICINE AND WELLNESS LLC
Practice address
2399 Route 34
BLDG. a, Suite 5
Manasquan, NJ 08736-1500
Phone
(732) 528-5533
Fax
(732) 528-0360
NPI assigned
Jun 25, 2009
Last updated
Aug 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Dr. Martin Manzo, DCNPI 1750360244
Title
Managing Member
Phone
(732) 528-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

2399 Route 34
BLDG. a, Suite 5
Manasquan, NJ 08736-1500

Mailing address

2399 Route 34
BLDG. a, Suite 5
Manasquan, NJ 08736-1500
Phone (732) 528-5533

National Provider Directory

National Provider Directory

Locations

2399 Route 34
Bldg A5
Manasquan, NJ 08736
Phone (732) 528-5533

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1881822161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 ROUTE 34",
            "address_2": "BLDG. A, SUITE 5",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361500",
            "telephone_number": "732-528-5533",
            "fax_number": "732-528-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ROUTE 34",
            "address_2": "BLDG. A, SUITE 5",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361500",
            "telephone_number": "732-528-5533",
            "fax_number": "732-528-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICINE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-528-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.