Active NPI
Eric Mangles
- Health Educator
- Farmingville, NY
National Provider Identifier
1053258616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1075 Portion Rd Ste 12
Farmingville, NY 11738-2256 - Phone
- (631) 320-1599
- NPI assigned
- May 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | NY | Primary |
Addresses
Primary practice location
1075 Portion Rd Ste 12
Farmingville, NY 11738-2256
Mailing address
1075 Portion Rd Ste 12
Farmingville, NY 11738-2256
Phone (631) 320-1599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1053258616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 PORTION RD STE 12",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117382256",
"telephone_number": "631-320-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 PORTION RD STE 12",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117382256",
"telephone_number": "631-320-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGLES",
"first_name": "ERIC",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-01",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmingville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.