Sarah Jane Mango, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

421510 Issued in NY

Practice address

240 Central Park S Apt 1P
New York, NY 10019-1429

Phone

(212) 535-5350

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1083383285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191429",
            "telephone_number": "212-535-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGO",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "809421",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Mangle, NP
• Bernadita A Manglona
• Mango Chiropractic PC
• Christopher Mango, DC
• Philip John Mango
• Victoria Lee Mango, M.D.
• Mariel Chloe Mangold, LCSW
• Michael Theodore Mangold, MD, MPH, MS
• Jessica Mangro
• Nikeeta Jivrajbhai Mangukiya, PT

• Women's Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.