Robert Degroote MD and Joseph Manno MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ROBERT DEGROOTE MD AND JOSEPH MANNO MD PA

Practice address

83 Summit Ave
Hackensack, NJ 07601-1262

Phone

(201) 646-0010

Fax

(201) 646-0600

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Manno, MD

Title

President

Phone

(201) 646-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Jersey Surgical Specialists Doing business as

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1922012566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011262",
            "telephone_number": "201-646-0010",
            "fax_number": "201-646-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011262",
            "telephone_number": "201-646-0010",
            "fax_number": "201-646-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT DEGROOTE MD AND JOSEPH MANNO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "MANNO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-646-0010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5649803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Jersey Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrian Rivera
• Christine Yanire Rivera, D.C.
• Lhia Rivero, BA
• Riverside Medical Services P.C.
• Khizer Rizvi, MD
• Robert James Gallo, M.D., P.C.
• Robert S Cohen MD PA
• Robin Ellen Leder, M.D., L.L.C.
• Estefany Robles, APN
• Roger Robles, MD

• Surgery Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.