MANOJ JAIN


Address: 314 Franklin Ave, Berlin, MD 21811-1215
Phone: 4106410277

MANOJ JAIN (NPI# 1285620369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285620369
Entity Type Individual
Full Name MANOJ JAIN
Credential MD
Practice Address 314 Franklin Ave
Berlin
MD 21811-1215
Mailing Address 2234 Colonial Blvd
Fort Myers
FL 33907-1412
Practice Telephone 4106410277
Practice Fax Number 4106419581
Mailing Telephone 2399317342
Mailing Fax Number 2399317385
Enumeration Date 2005-09-23
Last Update Date 2009-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
D60818 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DE AMERIGROUP PROV. # (KATIN) 01219116 01
DE 1000024706 05
MD 403688301 05
VI 010040825 05
MD AMERIGROUP PROV. # (BERLIN) 10236764 01
VI 010040493 05
VI 010040523 05
MD 403688300 05

Other Providers MANOJ JAIN

NPI Name Taxonomy Address Enumeration
1750764692 Manoj Jain Dentist 819 S Salina St, Syracuse, NY 13202-3527 2015-07-08
1972717676 Manoj Prakash Jain Family Medicine 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043 2007-05-10
1003858168 Manoj K Jain Internal Medicine 6027 Walnut Grove Rd, Suite 312, Memphis, TN 38120-2145 2006-06-12
1871559856 Manoj Jain Radiology 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2006-04-26

Office Location

Street Address 314 FRANKLIN AVE
City BERLIN
State MD
Zip Code 21811-1215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568461531 Thomas D Beck Jr. Orthopaedic Surgery 314 Franklin Ave, Suite 105b, Berlin, MD 21811-1215 2005-07-20
1245786243 Cambridge Physical Therapy, LLC Physical Therapist 314 Franklin Ave, Ste 501, Berlin, MD 21811-1215 2016-08-30
1497129423 Briana Fedorko Physical Therapist 314 Franklin Ave, Suite 501, Berlin, MD 21811-1215 2015-11-13
1891188991 Tidewater Dermatology, LLC Dermatology 314 Franklin Ave, Suite 107, Berlin, MD 21811-1215 2015-03-13
1366879363 Eva Paxton Physical Therapy Assistant 314 Franklin Ave, Suite 501, Berlin, MD 21811-1215 2013-10-04
1194061739 Monica Ann Edelmann Physical Therapist 314 Franklin Ave, Suite 405, Berlin, MD 21811-1215 2013-01-01
1700198207 Edward Kenly Startt Physical Therapist 314 Franklin Ave, Suite 501, Berlin, MD 21811-1215 2010-07-13
1043522022 Ocean Orthopedics PC Orthopaedic Surgery 314 Franklin Ave, Suite 105b, Berlin, MD 21811-1215 2010-07-08
1598093833 Daniel R Pascucci Family Medicine 314 Franklin Ave, Suite 105-b, Berlin, MD 21811-1215 2009-11-24
1609101104 Ashley R Bondurant Physical Therapist 314 Franklin Ave, Suite 501, Berlin, MD 21811-1215 2009-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366912909 Kathleen Cathell Speech-Language Pathologist 11187 Racetrack Rd, Berlin, MD 21811 2018-11-27
1033613336 Kimberly Rose Richardson Registered Nurse Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 2018-03-21
1780108514 Jayme Sroka Mahoney Marriage & Family Therapist 124 N. Main St. Ste. C, Berlin, MD 21811 2017-08-02
1013332543 Ray Charles Lockamy Jr. Behavior Technician 10514 Racetrack Rd Ste G, Berlin, MD 21811 2014-02-20
1972845121 Timothy Pearson Dermatology 9948 N. Main St., Berlin, MD 21811 2013-03-25
1710248315 Jaime Farrell Coates Counselor 378 Schooner Ln, Berlin, MD 21811 2012-05-31
1902185697 Lee Ahlstrom Pharmacist 11307 Manklin Creek Rd, Berlin, MD 21811 2011-08-11
1780987677 Worcester County Health Department Public Health or Welfare 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 2010-12-15
1942511563 Corey Lee Smith Dentist 11204 Racetrack Rd Ste 102, Berlin, MD 21811 2010-06-29
1255656062 Sarah Mae Brown Pharmacist Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 2010-04-05
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558341974 Berlin Radiation Threapy Treatment Center, LLC Radiology 314 Franklin Ave, Berlin, MD 21811-1215 2006-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174130454 Capital Radiosurgery Centers LLC Radiology 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 2020-09-30
1538546262 Skin Cancer Eb, LLC Radiology 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 2015-05-01
1619364734 Sarah Zuckoff Hazell Radiology 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 2015-04-16
1265851323 Matthew Jeffrey Ferris Radiology Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 2014-04-15
1548608334 Rajal Patel Radiology 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 2013-06-13
1326380486 Kaveh Zakeri Radiology 30077 Business Center Dr, Charlotte Hall, MD 20622 2013-03-26
1528319209 Andra Valentina Krauze Radiology Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 2012-09-21
1043586142 Matthew Jacob Boyer Radiology 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 2012-03-22
1336458942 Amar Rewari Radiology 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 2010-09-30
1336451921 Pranshu Mohindra Radiology 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 2010-07-12
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Competitor

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City BERLIN
Zip Code 21811

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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