Med Myra F Mangcoy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01202100 Issued in NJ

Practice address

2 Arnot St Ste 3
Lodi, NJ 07644-1630

Phone

(646) 321-3661

NPI assigned

May 17, 2011

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

Other names 1

• Med Myra M Frani Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• B&M Rehab, LLC

  • Physical Therapist
  • Lodi, NJ
  • NPI 1912576083
  Medicare reassignment NPD Authorized official
• Rehabilitation Institute of North Jersey

  • Specialist
  • Lodi, NJ
  • NPI 1316174238
  NPD (past)
• Rockwell Medical PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1649209727
  NPD (past)

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1083907505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MAIN AVE",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571720",
            "telephone_number": "646-321-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ARNOT ST STE 3",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441630",
            "telephone_number": "646-321-3661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Carnegie Plz",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031000",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGCOY",
        "first_name": "MED MYRA",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01202100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MED MYRA",
            "last_name": "FRANI",
            "middle_name": "M",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sang Van Luong
• Lustig Healing Arts LLC
• Robin Lustig, DC
• Amanda Beth Maciag, PHARMD
• Mega Manchanda
• Maria Ann Ramos, MD, PA
• Masters Medical Transport
• Michael J. Matarese, M.D.
• Lois McAuliffe, LCSW
• Mauro Anthony Mecca, M.D.

• Physical Therapist in Lodi, NJ
• Providers in Lodi, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.