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DR. ROSARIO MANALO MD
NPI 1255328936
Internal Medicine - Infectious Disease in Hillsborough, NJ

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
82.56/100
CMS Quality Rating
105 RAIDER BLVD, SUITE 101, HILLSBOROUGH, NJ 08844(908) 281-0221(908) 281-0890 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rosario Manalo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSARIO MANALO MD (NPI 1255328936) is an individual infectious disease provider in Hillsborough, New Jersey, licensed in New Jersey (25MA08554400) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1255328936
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. ROSARIO MANALOCredential: MD
Location Address105 RAIDER BLVD, SUITE 101Hillsborough, NJ 08844-1528
Mailing Address105 Raider Blvd, Suite 101Hillsborough, NJ 08844-1528 · (908) 281-0221 · Fax (908) 281-0890
Phone(908) 281-0221
Fax(908) 281-0890
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMay 26, 2010
✔ NPI 1255328936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA08554400
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD11188 (RI)
105 RAIDER BLVD, Hillsborough, NJ 08844
Open in Google Maps ↗

Other Identifiers 1

Other050483739RI · Tin #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rosario Manalo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183602071
PECOS Enrollment IDI20090824000439
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Rosario Manalo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Id Care LLC
Same address
Infectious Disease
105 RAIDER BLVD, SUITE 101
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 146 clinicians in this Medicare group
NPI 1639146277 (908) 281-0221
Hackensack Meridian Health Medical Group - Specialty Care PC
31 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
569 services271 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
482 services274 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
168 services157 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
129 services125 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08844 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.4
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims1,466 services$0.38 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$34.74 avg. paid by Medicare
Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier19 claims19 services$85.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD G NAHASS M.D.
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
DR. NAVTIKA R DESAI DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
105 RAIDER BLVD, SUITE 200
HILLSBOROUGH, NJ 08844
Somerset County (908) 829-4244
MELISSA POULSEN
Pharmacist (Infectious Diseases)
105 RAIDER BLVD
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
MRS. KATHLEEN H SENECA APN
Nurse Practitioner (Adult Health)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
DR. RICHARD EVAN KRIEGER M.D.
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
NAZAR RAOOF MD
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
MRS. NANCY JEAN SEYLER APN-C
Nurse Practitioner (Adult Health)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221
DANIELLE DOLAN RN,MSN,APN-C
Nurse Practitioner
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Somerset County (908) 281-0221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosario Manalo's NPI number?

The NPI number for Rosario Manalo is 1255328936. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Rosario Manalo located?

Rosario Manalo practices at 105 Raider Blvd Suite 101, Hillsborough, NJ 08844. The listed phone number is (908) 281-0221.

What is Rosario Manalo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Rosario Manalo enrolled in Medicare?

Yes. Rosario Manalo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rosario Manalo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosario Manalo reassigns Medicare benefits to 2 organizations: Id Care LLC (Hillsborough, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosario Manalo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosario Manalo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rosario Manalo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rosario Manalo affiliated with any hospitals?

According to CMS data, Rosario Manalo is affiliated with Riverview Medical Center, Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Rosario Manalo was last updated on May 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.