NPIMap

Individual provider Active NPI

Farag Amin Mankarios, M.D.

  • Internal Medicine Physician
  • Colts Neck, NJ
National Provider Identifier
1912930082
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07048000 Issued in NJ
Practice address
410 Route 34
Suite 216
Colts Neck, NJ 07722-2519
Phone
(732) 863-5515
Fax
(732) 863-5516
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07048000 NJ Primary

Addresses

Primary practice location

410 Route 34
Suite 216
Colts Neck, NJ 07722-2519

Mailing address

410 Route 34
Suite 216
Colts Neck, NJ 07722-2519
Phone (732) 863-5515

Other identifiers 1

IdentifierTypeStateIssuer
8206708MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000607 NJ Practitioner - Internal Medicine 1658339338 Reassigns benefits to 1 organization
Practice locations: Colts Neck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

410 Route 34
Suite 216
Colts Neck, NJ 07722-2519
Phone (732) 863-5515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Farag a Mankarios MD LLC Internal Medicine CurrentSince Jan 29, 2018 Accepting new patients
M.H.Amir Zanjanian, M.D., PA Past Accepting new patients

Locations

410 State Route 34
Ste 216
Colts Neck, NJ 07722
Phone (732) 863-5515

Interoperability endpoints

  • Direct secure messaging: faragmankarios@mai.allscriptsdirect.net
  • Direct secure messaging: fmankarios425284@direct.ahsys.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1912930082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ROUTE 34",
            "address_2": "SUITE 216",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222519",
            "telephone_number": "732-863-5515",
            "fax_number": "732-863-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ROUTE 34",
            "address_2": "SUITE 216",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222519",
            "telephone_number": "732-863-5515",
            "fax_number": "732-863-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKARIOS",
        "first_name": "FARAG",
        "middle_name": "AMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07048000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8206708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.