Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Michael Manzano Aquino, MD

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1245681683

Jeffrey Michael Manzano Aquino, MD is a Pediatric Medicine in Jackson, Mississippi. Qualified in 2009, 17 years ago. Licensed in Mississippi, New Jersey and New York.

Years since qualifying
17
Licensed in
MS, NJ, NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (732) 439-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 30124 (MS)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 25MA10601300 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1245681683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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