DR. STEPHEN J MANOCCHIO (NPI# 1891731766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891731766 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN J MANOCCHIO |
| Credential | MD |
| Practice Address |
268 Dr Martin Luther King Jr Blvd Newark NJ 07102-2011 |
| Mailing Address |
Po Box 36 Roseland NJ 07068-0036 |
| Practice Telephone | 9738772586 |
| Mailing Telephone | 9738772586 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA38532 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 048640 | 05 |
| Street Address |
268 DR MARTIN LUTHER KING JR BLVD |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615090 | Essex Emergency Associates, P.a. | Emergency Medicine | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2005-08-02 |
| 1720613342 | Ambika S Ramlogan | Pharmacist | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2020-03-04 |
| 1912556085 | Omar M Mian | Pharmacist | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2019-09-10 |
| 1215425020 | Adeen Shakil Khokhar | Student in an Organized Health Care Education/Training Program | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2018-04-26 |
| 1912437997 | Ogori N Kalu Md | Surgery | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2017-06-13 |
| 1164844098 | Ccn America Lp | Pharmacy | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2014-01-13 |
| 1033495015 | Allen Judah Srulowitz | Emergency Medicine | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2011-10-22 |
| 1992942676 | Ogori N Kalu | Surgery | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2009-01-16 |
| 1467485623 | Comprehensive Cardiovascular Consultants PC | Internal Medicine | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102 | 2006-07-09 |
| 1477598928 | Nancy Scangarello | Registered Nurse | 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426133 | Darrell Eugene Roberson | Specialist | 243 Halsey St Apt 5c, Newark, NJ 07102-3750 | 2017-06-09 |
| 1497109771 | Amy Karlyna Iturburo | Specialist | 452 Highland Ave, Newark, NJ 07104-1518 | 2016-04-22 |
| 1003213380 | Rachel Ann Gerber | Specialist | 119 Union Street, Newark, OH 43055 | 2014-12-02 |
| 1821425356 | Paige Thomasson | Specialist | 35 Edison Place #402, Newark, NJ 07102 | 2013-09-30 |
| 1538508221 | Sarah Diane Johnson | Specialist | 347 Lake St, Apt C5, Newark, NJ 07104-1223 | 2013-06-17 |
| 1326381575 | Cecilia Asare | Specialist | 30-32 Crawford St, 3floor, Newark, NJ 07102-1100 | 2013-04-05 |
| 1912216573 | Persante Sleep Care, Inc. | Specialist | One Centurian Drive Ste: 208, Abby Medical Center, Newark, DE 19713-2137 | 2010-09-30 |
| 1205165321 | James M Bastianelli | Specialist | 28 Dublin Dr, Newark, DE 19702-7708 | 2009-12-19 |
| 1932332848 | Alternative Therapy | Specialist | 4631 Ogletown Stanton Rd, Newark, DE 19713-2006 | 2009-08-25 |
| 1508005083 | Jodi Lynn Collins | Specialist | 202 N Bridlewood Dr, Newark, DE 19702-3418 | 2009-02-06 |
| Find all providers in NEWARK | ||||
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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.