Dr. Mario A Mancheno, MD
Surgery in Hoboken, New Jersey
1417041013- Practice location
- 422 Grand Street, Hoboken, NJ 07030
- Phone
- 201-656-8743
- Fax
- 201-319-0867
- Last updated
- November 8, 2026
Mario Anibal Mancheno is a Surgery based in Hoboken, NJ. Mario Anibal Mancheno practices in Hoboken, NJ and has the professional credentials of MD. The NPI Number for Mario Anibal Mancheno is 1417041013 and holds a License No. 25MA03336800 (NJ). The current practice location address for Mario Anibal Mancheno is 422 Grand Street, Hoboken, NJ 07030 and can be reached out via phone at 201-656-8743 and via fax at 201-319-0867.
Provider Profile Details
- NPI Number
- 1417041013
- Provider Name
- Mario Anibal Mancheno
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 422 Grand Street, Hoboken, NJ 07030
- Phone Number
- 201-656-8743
- Fax Number
- 201-319-0867
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 3, 2006
- Last Update Date
- November 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 422 Grand Street
Hoboken, NJ 07030 - City
- Hoboken
- State
- New Jersey
- Zip
- 07030
- Phone Number
- 201-656-8743
- Fax Number
- 201-319-0867
Provider Business Mailing Address Details
- Address
- 422 Grand Street
Hoboken, NJ 07030 - City
- Hoboken
- State
- NJ
- Zip
- 07030
- Phone Number
- 201-656-8743
- Fax Number
- 201-319-0867
License Information
- License Number
- 25MA03336800
- License State
- NJ
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Hoboken, NJ
View all Surgery providers in Hoboken →Frequently Asked Questions
What is the NPI number of Dr. Mario A Mancheno, MD?
The NPI number of Dr. Mario A Mancheno, MD is 1417041013. It was assigned on October 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mario A Mancheno, MD?
Dr. Mario A Mancheno, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA03336800.
Where does Dr. Mario A Mancheno, MD practice?
The practice location is 422 Grand Street, Hoboken, NJ 07030. The office can be reached at 201-656-8743 (phone) or 201-319-0867 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417041013 directly on the NPPES registry website.