Individual provider Active NPI

Joseph Michael Maneri, D.M.D.

  • General Practice Dentistry
  • Whiting, NJ
National Provider Identifier
1982810545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01517100 Issued in NJ
Practice address
75 Lacey Rd
Suite 7
Whiting, NJ 08759-2938
Phone
(732) 350-2100
Fax
(732) 350-1152
NPI assigned
May 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01517100 NJ Primary

Addresses

Primary practice location

75 Lacey Rd
Suite 7
Whiting, NJ 08759-2938

Mailing address

5 Austin CT
Jackson, NJ 08527-4584
Phone (732) 928-4096

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151217001140 NJ Order and Referring Only - DentistPractitioner - Dentist 9739480674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01517100NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982810545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AUSTIN CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274584",
            "telephone_number": "732-928-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LACEY RD",
            "address_2": "SUITE 7",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592938",
            "telephone_number": "732-350-2100",
            "fax_number": "732-350-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANERI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01517100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

Verify at the official NPI Registry.