Active NPI
Albert Mangold, M.D.
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1093777906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 127237
- Practice address
- 222 Alexander St
Suite 4100/4200
Rochester, NY 14607-4039 - Phone
- (585) 922-8230
- Fax
- (585) 922-8260
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 127237 | NY | Primary |
Addresses
Primary practice location
222 Alexander St
Suite 4100/4200
Rochester, NY 14607-4039
Mailing address
222 Alexander St
Suite 4100/4200
Rochester, NY 14607-4039
Phone (585) 922-8230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01684660 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127237 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Pediatrics | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1093777906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 ALEXANDER ST",
"address_2": "SUITE 4100/4200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074039",
"telephone_number": "585-922-8230",
"fax_number": "585-922-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 ALEXANDER ST",
"address_2": "SUITE 4100/4200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074039",
"telephone_number": "585-922-8230",
"fax_number": "585-922-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGOLD",
"first_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "127237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01684660",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.