Alice Mangru

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

343844 Issued in NY

Practice address

21015 23Rd Ave
Bayside, NY 11360-1845

Phone

(347) 254-9959

NPI assigned

Oct 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1033834536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 23RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 23RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601845",
            "telephone_number": "347-254-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRU",
        "first_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "343844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robby Xavier Manatt, PT,DPT
• Mary De Leon Mandawe
• Jared Benjamin Mandel, D.C.
• Kostas Mandelos, LMSW
• Jeannette Mangiere, LCSW
• Jack Michael Mann, M.D.
• Marina Manniello, PHARM.D
• Christina Manolatos
• Eftyhia Manolatos, OTR/L
• Mohamed Mansour

• Licensed Practical Nurse in Bayside, NY
• Providers in Bayside, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.