Individual provider Active NPI

Joseph Mangel, D.O.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1093759409
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS007738L Issued in PA
Practice address
201 McKean St
Philadelphia, PA 19148-2627
Phone
(215) 755-2500
Fax
(215) 755-3890
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS007738L PA Primary

Addresses

Primary practice location

201 McKean St
Philadelphia, PA 19148-2627

Mailing address

201 McKean St
Philadelphia, PA 19148-2627
Phone (215) 755-2500

Other identifiers 1

IdentifierTypeStateIssuer
0015018140002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000228 PA Practitioner - Internal Medicine 7315033214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

201 McKean St
Philadelphia, PA 19148-2627
Phone (215) 755-2500

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Philadelphia, PA, CCN 397643
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS007738LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Mangel, D.O. P.C. Internal Medicine CurrentSince Jan 19, 1998 Accepting new patients

Locations

201 McKean St
Philadelphia, PA 19148
Phone (215) 755-2500

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1093759409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MCKEAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482627",
            "telephone_number": "215-755-2500",
            "fax_number": "215-755-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCKEAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482627",
            "telephone_number": "215-755-2500",
            "fax_number": "215-755-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGEL",
        "first_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007738L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015018140002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.