MANOLIS G MANOLAKAKIS (NPI# 1487681037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487681037 |
| Entity Type | Individual |
| Full Name | MANOLIS G MANOLAKAKIS |
| Credential | DMD |
| Practice Address |
1131 Broad St Suite 109 Shrewsbury NJ 07702-4329 |
| Practice Telephone | 7325420755 |
| Practice Fax Number | 7325427272 |
| Mailing Telephone | 7325420755 |
| Mailing Fax Number | 7325427272 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | DI02195300 | NJ | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
22DIO2195300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1131 BROAD ST SUITE 109 |
| City | SHREWSBURY |
| State | NJ |
| Zip Code | 07702-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200795 | Cara Dorazio | Audiologist | 1131 Broad St, Ste 103, Shrewsbury, NJ 07702-4329 | 2005-07-22 |
| 1790141752 | Robert B Grossman Md LLC | Orthopaedic Surgery | 1131 Broad St, Suite 104, Shrewsbury, NJ 07702-4329 | 2016-01-06 |
| 1346618808 | Pain Relief Central New Jersey LLC | Nurse Practitioner | 1131 Broad St, 201, Shrewsbury, NJ 07702-4329 | 2015-09-14 |
| 1710308937 | Monmouth County Pain Management and Wellness Center | Clinic/Center | 1131 Broad St, Shrewsbury, NJ 07702-4329 | 2013-12-16 |
| 1609205269 | Monmouth County Pain Management & Wellness Center | Nurse Practitioner | 1131 Broad St, Shrewsbury, NJ 07702-4329 | 2013-11-04 |
| 1043548969 | Dr Eric L Winarsky LLC | Otolaryngology | 1131 Broad St, Suite 102, Shrewsbury, NJ 07702-4329 | 2009-12-04 |
| 1881922706 | Dr John L Saporito LLC | Otolaryngology | 1131 Broad St, Suite 102, Shrewsbury, NJ 07702-4329 | 2009-12-04 |
| 1851629471 | Central Jersey Otolaryngology LLC | Otolaryngology | 1131 Broad St, Suite 103, Shrewsbury, NJ 07702-4329 | 2009-11-19 |
| 1548491442 | Orthopaedic Spine Specialists of Nj, LLC | Orthopaedic Surgery | 1131 Broad St, Suite 201, Shrewsbury, NJ 07702-4329 | 2009-07-27 |
| 1962645150 | Karen Mary Kupper Langan | Audiologist | 1131 Broad St, Suite 103, Shrewsbury, NJ 07702-4329 | 2009-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1952723264 | Encore Dental of Shrewsbury | Dentist | 40 Shrewsbury Plaza, Shrewsbury, NJ 07702 | 2014-01-07 |
| 1952503393 | Dana L Essner | Nurse Practitioner | 655 Shrewsbury Ave Ste 206, Shrewsbury, NJ 07702 | 2007-06-05 |
| 1265646764 | Marvin Jeffrey Sher | Dentist | 23 White Street, Shrewsbury, NJ 07702 | 2007-05-10 |
| 1467679076 | Lori A. Magoulas | Dietitian, Registered | 39 Avenue At The Common, Suite 106, Shrewsbury, NJ 07702 | 2007-04-18 |
| 1932247459 | Judith Lorraine Krusell | Psychologist | 322 Sycamore Avenue, Shrewsbury, NJ 07702 | 2007-02-05 |
| 1114070539 | Jessica L Federici | Social Worker | 812 Broad St, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1043363583 | Nursefinders Inc | Home Health | 170 Avenue At The Common, Suite 1, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1598816365 | Mitchell Jeffrey Gardiner | Dentist | 59 Avenue At The Common, Suite 205, Shrewsbury, NJ 07702 | 2007-01-16 |
| 1144383837 | Global Healthcare Alliances, LLC | Skilled Nursing Facility | 39 Ave At The Commons, Suite 206, Shrewsbury, NJ 07702 | 2006-12-18 |
| Find all providers in zip 07702 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659923969 | Sunhee Lee Dmd Pa | Oral & Maxillofacial Surgery | 1 Dewolf Rd Ste 102, Old Tappan, NJ 07675-7084 | 2019-07-16 |
| 1336630599 | Steven Frank Bogart Dds and Hubert Gugala Dmd | Oral & Maxillofacial Surgery | 57 Route 46 Suite 207, Hackettstown, NJ 07860 | 2018-05-23 |
| 1760910046 | Southern Ocean Osic, Inc | Oral & Maxillofacial Surgery | 1322 Route 72 W Ste 204, Manahawkin, NJ 08050-2486 | 2017-05-31 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1992118087 | Lanoka Shores LLC | Oral & Maxillofacial Surgery | 249 S Main St Unit 4, Barnegat, NJ 08005-2301 | 2014-06-05 |
| 1316382641 | Nikolay Levintov | Oral & Maxillofacial Surgery | C3 Cornwall Dr, East Brunswick, NJ 08816 | 2013-04-30 |
| 1912248683 | Mark Park | Oral & Maxillofacial Surgery | 260 Old Hook Rd Ste 202, Westwood, NJ 07675-3123 | 2013-03-06 |
| 1457417495 | Oral & Maxillofacial Assoc of Nutley | Oral & Maxillofacial Surgery | 187 Washington Avenue, Suite 1b, Nutley, NJ 07110 | 2006-12-27 |
| 1336216795 | Joseph D Dmaio | Oral & Maxillofacial Surgery | 590 Westfield Ave, Westfield, NJ 07090 | 2006-11-29 |
| 1508930678 | David Z Evdokimow | Oral & Maxillofacial Surgery | 96 S Finley Ave, Basking Ridge, NJ 07920-1422 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
| City | SHREWSBURY |
| Zip Code | 07702 |
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| 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.