Joseph Mannion, MD
Individual provider Active NPI Internal Medicine Physician · Avon, NJ
NPI 1962492009 · NPPES record last updated Apr 11, 2025
Key facts
- NPI
- 1962492009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MA53573 (NJ)
- Practice address
- 123 Main St
Avon, NJ 07717-1005 - Phone
- (732) 995-8377
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Rutgers New Jersey Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
123 Main St
Avon by the Sea, NJ 07717-1005
Phone (732) 775-1400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040603000884 | NJ | Practitioner - Internal Medicine | 9537141569 | Practice locations: Avon by the Sea, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA53573 | NJ | MD | Internal Medicine Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDIGBD/Endpoint/FDIGBD
- joseph.mannion@jman.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA53573 | NJ | Yes |
Addresses
Primary practice location
123 Main St
Avon, NJ 07717-1005
Mailing address
123 Main St
Avon, NJ 07717-1005
Phone (732) 995-8377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5111307 | Medicaid | NJ |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.