Provider Demographics
NPI:1801003199
Name:MANI, RAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RAM
Middle Name:
Last Name:MANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 PATERSON ST, SUITE 6100
Mailing Address - Street 2:UMDNJ-RWJMS, CAB - DEPT OF NEUROLOGY
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-235-6433
Mailing Address - Fax:
Practice Address - Street 1:125 PATERSON ST, SUITE 6100
Practice Address - Street 2:UMDNJ-RWJMS, CAB - DEPT OF NEUROLOGY
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-235-6433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2213192084N0400X
PAMD4340462084N0400X
NJ25MA089026002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0263591Medicaid
NJP00981580OtherRR MCR PTAN
NJ0263591Medicaid