Active NPIIndividual provider

John Manicone

Surgery in Millburn, New Jersey

NPI Number1518967249
Practice location
225 Millburn Ave, Suite 104B, Millburn, NJ 07041-1737
Fax
973-912-9757
Last updated
December 12, 2024

John Manicone is a Surgery based in Millburn, NJ. John Manicone practices in Millburn, NJ. The NPI Number for John Manicone is 1518967249 and holds a License No. 25MA05569400 (NJ). The current practice location address for John Manicone is 225 Millburn Ave, Suite 104B, Millburn, NJ 07041-1737 and can be reached out via phone at 973-379-5888 and via fax at 973-912-9757.

Provider Profile Details

NPI Number
1518967249
Provider Name
John Manicone
Provider Entity Type
Individual
Gender
Male
Address
225 Millburn Ave, Suite 104B, Millburn, NJ 07041-1737
Phone Number
973-379-5888
Fax Number
973-912-9757
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2005
Last Update Date
December 12, 2024
Certification Date
December 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Millburn Ave
Suite 104B
Millburn, NJ 07041-1737
Zip
07041-1737
Phone Number
973-379-5888
Fax Number
973-912-9757
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
225 Millburn Ave
Suite 104B
Millburn, NJ 07041-1737
City
Millburn
State
NJ
Zip
07041-1737
Phone Number
973-379-5888
Fax Number
973-912-9757

License Information

License Number (1)
25MA05569400
License State (1)
NJ
Taxonomy (1)
Specialist · 174400000X
License Number (2)
25MA05569400
License State (2)
NJ
Taxonomy (2)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 John Manicone?

The NPI number of John Manicone is 1518967249. It was assigned on July 22, 2005 and is currently active in the NPPES registry.

What is the specialty of John Manicone?

John Manicone is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA05569400.

Where does John Manicone practice?

The practice location is 225 Millburn Ave, Suite 104B, Millburn, NJ 07041-1737. The office can be reached at 973-379-5888 (phone) or 973-912-9757 (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 1518967249 directly on the NPPES registry website.

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