Active NPI
Tara Mango, AUD
- Audiologist
- West Long Branch, NJ
National Provider Identifier
1063143469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 223 Monmouth Rd Ste 1a
West Long Branch, NJ 07764-1024 - Phone
- (732) 229-4089
- Fax
- (732) 229-3150
- NPI assigned
- Jun 17, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
223 Monmouth Rd Ste 1a
West Long Branch, NJ 07764-1024
Mailing address
223 Monmouth Rd Ste 1a
West Long Branch, NJ 07764-1024
Phone (732) 229-4089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
223 Monmouth Rd
Suite 1a
West Long Branch, NJ 07764-1024
Phone (732) 229-4089
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&a Hearing Group, LLC | Audiologist | Current | Accepting new patients |
| A&a Hearing Group, LLC | Current | Accepting new patients | |
| A&a Hearing Group, LLC | Audiologist | Past | Accepting new patients |
Locations
223 Monmouth Rd
Ste 1A
West Long Branch, NJ 07764
Phone (732) 229-4089
Organizations & group practices 3
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.
-
dba Live Better Hearing & Balance
- Audiologist-Hearing Aid Fitter
- Falls Church, VA
- NPI 1730067711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1063143469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 MONMOUTH RD STE 1A",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641024",
"telephone_number": "732-229-4089",
"fax_number": "732-229-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 MONMOUTH RD STE 1A",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641024",
"telephone_number": "732-229-4089",
"fax_number": "732-229-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGO",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-17",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.