Dr. Nicholas A Manoussos, DDS
Student in an Organized Health Care Education/Training Program in Montclair, New Jersey
1417654849- Practice location
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone
- 973-429-6888
- Fax
- —
- Last updated
- February 15, 2023
Nicholas Anthony Manoussos is a Student in an Organized Health Care Education/Training Program based in Montclair, NJ. Nicholas Anthony Manoussos practices in Montclair, NJ and has the professional credentials of DDS. The NPI Number for Nicholas Anthony Manoussos is 1417654849. The current practice location address for Nicholas Anthony Manoussos is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6888.
Provider Profile Details
- NPI Number
- 1417654849
- Provider Name
- Nicholas Anthony Manoussos
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone Number
- 973-429-6888
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 15, 2023
- Last Update Date
- February 15, 2023
- Certification Date
- February 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bay Ave
Montclair, NJ 07042-4837 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4837
- Phone Number
- 973-429-6888
Provider Business Mailing Address Details
- Address
- 11 Soundbay Dr
Lloyd Harbor, NY 11743 - City
- Lloyd Harbor
- State
- NY
- Zip
- 11743
- Phone Number
- 631-921-4129
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Nicholas A Manoussos, DDS?
The NPI number of Dr. Nicholas A Manoussos, DDS is 1417654849. It was assigned on February 15, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Nicholas A Manoussos, DDS?
Dr. Nicholas A Manoussos, DDS is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Dr. Nicholas A Manoussos, DDS practice?
The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6888 (phone).
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 1417654849 directly on the NPPES registry website.