Provider Demographics
NPI:1255499034
Name:MIHIR K. MANIAR DO
Entity Type:Organization
Organization Name:MIHIR K. MANIAR DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIHIR
Authorized Official - Middle Name:KISHOR
Authorized Official - Last Name:MANIAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-229-1011
Mailing Address - Street 1:279 3RD AVE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6205
Mailing Address - Country:US
Mailing Address - Phone:732-229-1011
Mailing Address - Fax:732-229-0114
Practice Address - Street 1:279 3RD AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6205
Practice Address - Country:US
Practice Address - Phone:732-229-1011
Practice Address - Fax:732-229-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG80135Medicare UPIN
NJ018381Medicare ID - Type Unspecified