JOHN MANICONE
NPI 1518967249
Surgery in Millburn, NJ
About John Manicone NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MANICONE (NPI 1518967249) is an individual surgery provider in Millburn, New Jersey, licensed in New Jersey (25MA05569400) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 9
Accepted 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
John Manicone 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.
Medicare Billing Reassignment
Medicare enrollment records show John Manicone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
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 15
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newark Beth Israel Medical Center
Acute Care Hospitals · Newark, NJRobert Wood Johnson University Hospital At Rahway
Acute Care Hospitals · Rahway, NJTrinitas Regional Medical Center
Acute Care Hospitals · Elizabeth, NJJfk Medical Center
Acute Care Hospitals · Edison, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILLBURN, NJ 07041
MILLBURN, NJ 07041
MILLBURN, NJ 07041
MILLBURN, NJ 07041
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 John Manicone's NPI number?
The NPI number for John Manicone is 1518967249. It was assigned to this individual provider in the NPPES registry on July 22, 2005.
Where is John Manicone located?
John Manicone practices at 225 Millburn Ave Suite 104B, Millburn, NJ 07041. The listed phone number is (973) 379-5888.
What is John Manicone's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Manicone enrolled in Medicare?
Yes. John Manicone 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 organization bills Medicare for John Manicone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Manicone reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). The 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 John Manicone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Manicone accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list John Manicone 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 John Manicone affiliated with any hospitals?
According to CMS data, John Manicone is affiliated with Newark Beth Israel Medical Center, Robert Wood Johnson University Hospital At Rahway, Trinitas Regional Medical Center and Jfk Medical Center.
When was this NPI record last updated?
The NPPES record for John Manicone was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# John Manicone · NPI 1518967249
Surgery physician in Millburn, New Jersey. Individual provider, active in the CMS NPPES registry since July 22, 2005.
## Identity
- **NPI:** 1518967249 (Entity type: Individual)
- **Enumerated:** July 22, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 25MA05569400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 MILLBURN AVE, SUITE 104B, Millburn, NJ 07041-1737
- **Phone:** (973) 379-5888 · **Fax:** (973) 912-9757
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers R W Johnson Medical School, class of 1989
## Record status
- **NPPES last updated:** December 12, 2024
- **Other identifiers:** Other 5710066 (NJ); Other 84168 (NJ); Other 0526328000 (NJ); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1518967249) · Data from the CMS NPPES public registry.