Active NPI
Daniel John Mantell, PA-C
- Emergency Medical Services (Emergency Medicine) Physician
- Vineland, NJ
National Provider Identifier
1073346748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 0000000
- Practice address
- 1505 W Sherman Ave
Vineland, NJ 08360-7059 - Phone
- (856) 641-8000
- NPI assigned
- Aug 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA067234 | PA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 0000000 | NJ | Primary |
Addresses
Primary practice location
1505 W Sherman Ave
Vineland, NJ 08360-7059
Mailing address
4790 Essex Dr
Doylestown, PA 18902-9534
Phone (215) 460-6033
Other practice location 1
501 Front St
Elmer, NJ 08318-2101
Phone (856) 363-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2100 Powell St
Emeryville, CA 94608-1826
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | NJ | MD | Internal Medicine Physician |
| MA067234 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000
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.
-
- Emergency Medicine Physician
- West Grove, PA
- NPI 1902690852
-
- Emergency Medicine Physician
- Elmer, NJ
- NPI 1306871314
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1073346748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4790 ESSEX DR",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189029534",
"telephone_number": "215-460-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W SHERMAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607059",
"telephone_number": "856-641-8000"
}
],
"practiceLocations": [
{
"address_1": "501 Front St",
"address_purpose": "LOCATION",
"city": "Elmer",
"state": "NJ",
"postal_code": "083182101",
"country_code": "US",
"telephone_number": "856-363-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANTELL",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-20",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA067234",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NJ",
"license": "0000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
- 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.