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DR. MARIO ANIBAL MANCHENO M.D.
NPI 1417041013
Surgery in Hoboken, NJ

Active since October 03, 2006PECOS Enrolled
422 GRAND STREET, HOBOKEN, NJ 07030(201) 656-8743(201) 319-0867 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mario Anibal Mancheno M.d. NPPES

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

DR. MARIO ANIBAL MANCHENO M.D. (NPI 1417041013) is an individual surgery provider in Hoboken, New Jersey, licensed in New Jersey (25MA03336800) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417041013
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARIO ANIBAL MANCHENOCredential: M.D.
Location Address422 GRAND STREETHoboken, NJ 07030
Mailing Address422 Grand StreetHoboken, NJ 07030 · (201) 656-8743 · Fax (201) 319-0867
Phone(201) 656-8743
Fax(201) 319-0867
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417041013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA03336800
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
422 GRAND STREET, Hoboken, NJ 07030
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Other Identifiers 3

Medicare ID-Type UnspecifiedMA521048NJ
Medicaid3939707NJ
Medicare UPINC07940

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario Anibal Mancheno M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. PAUL C TEODORO MD
Family Medicine
422 GRAND STREET
HOBOKEN, NJ 07030
Hudson County (201) 798-1200

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 Mario Mancheno's NPI number?

The NPI number for Mario Mancheno is 1417041013. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Mario Mancheno located?

Mario Mancheno practices at 422 Grand Street, Hoboken, NJ 07030. The listed phone number is (201) 656-8743.

What is Mario Mancheno's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mario Mancheno enrolled in Medicare?

Yes. Mario Mancheno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Mancheno was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.