Stephen J Manocchio, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA38532 Issued in NJ

Practice address

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011

Phone

(973) 877-2586

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.manocchio@direct.bayonnemedicalcenter.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  Medicare reassignment NPD
• Ijkg Opco LLC

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• St Michael Infectious Disease Associates

  • Infectious Disease Physician
  • Newark, NJ
  • NPI 1811942766
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1891731766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070680036",
            "telephone_number": "973-877-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 DR MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011",
            "telephone_number": "973-877-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOCCHIO",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA38532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048640",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whilma Maniti, P.T.
• Nikita Sanjay Manjrekar, DO
• Mankind Care LLC
• Caroline Bernadette Manley
• Kisha Manley
• Manpreet Sahota MD PC
• Tigidankay Mansaray
• Richard James Mansfield, LAC
• Nashwa Mansoor, MD, MPH
• Priya Mansukhani, MD

• Specialist in Newark, NJ
• Providers in Newark, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.