Warren B. Mangel, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00145500 Issued in NJ

Legal business name

WARREN B. MANGEL, DPM

Practice address

6650 Browning Rd
Suite M20
Pennsauken, NJ 08109-1479

Phone

(856) 963-0190

Fax

(856) 963-5100

NPI assigned

Jan 8, 2007

Last updated

Oct 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren Mangel, D.P.M.NPI 1033196670

Title

Doctor

Phone

(856) 963-0190

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Warren Bruce Mangel, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Voorhees, NJ
  • NPI 1033196670
  NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1063560522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 BROWNING RD",
            "address_2": "SUITE M20",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091479",
            "telephone_number": "856-963-0190",
            "fax_number": "856-963-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 BROWNING RD",
            "address_2": "SUITE M20",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091479",
            "telephone_number": "856-963-0190",
            "fax_number": "856-963-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN B. MANGEL, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "MANGEL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "856-963-0190",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00145500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0084242000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RRB",
            "identifier": "480004285",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0084242000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.