Individual provider Active NPI

Warren Bruce Mangel, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Voorhees, NJ
National Provider Identifier
1033196670
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00145500 Issued in NJ
Practice address
805 Cooper Rd Ste 4
Voorhees, NJ 08043-3814
Phone
(856) 479-9430
Fax
(856) 281-9102
NPI assigned
Dec 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00145500 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00145500 NJ Primary

Addresses

Primary practice location

805 Cooper Rd Ste 4
Voorhees, NJ 08043-3814

Mailing address

2000 Crawford PL Ste 200
Mount Laurel, NJ 08054-3954
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
3190200MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmangel17048@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000447 NJ Practitioner - Podiatry 5799823803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

1001 Route 73 N
Marlton, NJ 08053-4524

305 Route 70 E
Cherry Hill, NJ 08034-2408

315 Route 70 E
Vitua Express Urgent Care Cherry Hill
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue48
Removal of skin lesions16
Removal of nail tissue178
Removal or shaving of skin growth111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Oct 1, 2017 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 1, 2017 Accepting new patients
Virtua Medical Group, PA Podiatrist Current Accepting new patients
Warren B. Mangel, DPM Podiatrist CurrentSince May 20, 1997 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1001 Route 73 N
Lowr Lvl
Marlton, NJ 08053

6650 Browning Rd
Rm M20
Pennsauken, NJ 08109
Phone (856) 963-0190

805 Cooper Rd
Ste 4
Voorhees, NJ 08043
Phone (856) 424-9230

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1033196670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD PL STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543954",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COOPER RD STE 4",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433814",
            "telephone_number": "856-479-9430",
            "fax_number": "856-281-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGEL",
        "first_name": "WARREN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-25",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00145500",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00145500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190200",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmangel17048@directvirtua.org",
            "affiliation": "N",
            "address_1": "805 Cooper Rd Ste 4",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080433814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.