John P Marangola, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

108753 Issued in NY

Practice address

306 Sedgwick Dr
Syracuse, NY 13203-1315

Phone

(315) 472-5465

NPI assigned

Oct 11, 2012

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mohawk Glen Radiology Associates of Cny PLLC

  • Diagnostic Radiology Physician
  • Rome, NY
  • NPI 1538466115
  NPD (past)
• Prospect Hill Radiology Group P C

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1235122425
  NPD (past)
• St. Josephs Imaging Associates PLLC

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1093709180
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1063764249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SEDGWICK DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031315",
            "telephone_number": "315-472-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SEDGWICK DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031315",
            "telephone_number": "315-472-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANGOLA",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "108753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy Manuel, NURSE PRACTITIONER
• Bryain Fernando Maradiaga, MD
• Stephen Jack Maradiaga, MD
• Allison E Marakovits, PA
• Gregory Joseph Marakovits, PA
• Alon Marantz, MD
• Antonio V Marasigan, MD
• Ann Marie Marburger, LMSW
• Monxque Marceis, RN
• Renee Marchant

• Diagnostic Radiology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.