JOHN MANICONE
NPI 1518967249
Surgery in Millburn, NJ

Q: 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.

Q: What is John Manicone's specialty?

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

Q: 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 19 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.

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment

225 MILLBURN AVE, SUITE 104B, MILLBURN, NJ 07041(973) 379-5888(973) 912-9757 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1518967249

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJOHN MANICONE

Location Address225 MILLBURN AVE, SUITE 104BMillburn, NJ 07041-1737

Mailing Address225 Millburn Ave, Suite 104bMillburn, NJ 07041-1737 · (973) 379-5888 · Fax (973) 912-9757

Phone(973) 379-5888

Fax(973) 912-9757

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1989

Enumeration DateJuly 22, 2005

Last NPPES UpdateDecember 12, 2024

NPPES CertifiedDecember 12, 2024

✔ NPI 1518967249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NJ · 25MA05569400

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.

Also ListedSpecialistTaxonomy 174400000X · License 25MA05569400 (NJ)

225 MILLBURN AVE, Millburn, NJ 07041

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Other Identifiers 9

Other5710066NJ · Ghi Ppo #

Other84168NJ · Amerigroup #

Other0526328000NJ · Amerihealth #

Other0K3218NJ · Healthnet #

Other5093166NJ · Aetna Ppo #

Other1059497NJ · Horizon Nj Health #

Other575898NJ · Aetna Hmo #

Medicaid6893201NJ

Other770001140NJ · Railroad Mdcr #

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9234185273

PECOS Enrollment IDI20050323000744

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.

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

119 services111 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

55 services17 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

52 services52 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

47 services14 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

37 services37 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

36 services34 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

20 services17 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.

19 services19 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

18 services14 patients

Ultrasound of both sides of head and neck blood flow 93880

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

18 services14 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

13 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

12 services12 patients

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, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310002

Location201 Lyons AveNewark, NJ 07112 · Essex County

Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310024

Location865 Stone StRahway, NJ 07065 · Union County

Emergency services

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310027

Location225 Williamson StreetElizabeth, NJ 07207 · Union 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 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.

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 20

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

STUART BASKIN, M.D., P.A.

Internal Medicine (Nephrology)

225 MILLBURN AVE, SUITE 304
MILLBURN, NJ 07041

Essex County (973) 218-1800

DR. YETUNDE ADEOLA MD

Psychiatry & Neurology (Psychiatry)

225 MILLBURN AVE, SUITE 210
MILLBURN, NJ 07041

Essex County (973) 494-4614

WENDY BOND LCSW

Social Worker (Clinical)

225 MILLBURN AVE, SUITE 209A
MILLBURN, NJ 07041

Essex County (973) 564-9556

M. KEVIN O'CONNOR MD LLC

Clinic/Center (Adult Mental Health)

225 MILLBURN AVE, SUITE 210
MILLBURN, NJ 07041

Essex County (973) 912-0200

GARDEN STATE BARIATRICS & WELLNESS CENTER,LLC

Family Medicine (Obesity Medicine)

225 MILLBURN AVE, SUITE 204
MILLBURN, NJ 07041

Essex County (973) 218-1990

AMY BLOCK LCSW

Social Worker (Clinical)

225 MILLBURN AVE, SUITE 209A
MILLBURN, NJ 07041

Essex County (201) 306-3758

PASE HEALTHCARE, PC

Internal Medicine

225 MILLBURN AVE, SUITE 303
MILLBURN, NJ 07041

Essex County (973) 912-7273

DR. MUBASHIR SHABIL BILLAH M.D.

Urology

225 MILLBURN AVE
MILLBURN, NJ 07041

Essex County (973) 218-9400

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.

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 19 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.