Organization Active NPI

Dr Mangia Associataes PC

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1073830527
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04822500 Issued in NJ
Legal business name
DR MANGIA ASSOCIATAES PC
Practice address
239 Washington St
Jersey City, NJ 07302-3828
Phone
(201) 521-1100
Fax
(201) 521-1236
NPI assigned
Apr 23, 2010
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Anthony J Mangia, MDNPI 1750320040
Title
President
Phone
(201) 521-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04822500 NJ Primary
Infectious Disease Physician 207RI0200X 25MA04822500 NJ

Addresses

Primary practice location

239 Washington St
Jersey City, NJ 07302-3828

Mailing address

PO Box 3659
Jersey City, NJ 07303-3659
Phone (201) 521-1100

Other identifiers 1

IdentifierTypeStateIssuer
0882305MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1073830527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3659",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073033659",
            "telephone_number": "201-521-1100",
            "fax_number": "201-521-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 WASHINGTON ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023828",
            "telephone_number": "201-521-1100",
            "fax_number": "201-521-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MANGIA ASSOCIATAES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "MANGIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-521-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04822500",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA04822500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.