Individual provider Active NPI

Aprille Palac Mangalonzo, RN, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, NJ
National Provider Identifier
1124679725
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402738 Issued in NY
Practice address
14 Hillcrest Blvd
Warren, NJ 07059-5116
Phone
(908) 304-2905
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402738 NY Primary

Addresses

Primary practice location

14 Hillcrest Blvd
Warren, NJ 07059-5116

Mailing address

14 Hillcrest Blvd
Warren, NJ 07059-5116
Phone (908) 304-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203002742 NY Practitioner - Nurse Practitioner 7113350216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14601 45TH Ave
Suite 310
Flushing, NY 11355-2281
Phone (718) 670-5562

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.68 of 100Reported as group
Quality
88.38
Promoting interoperability
78
Improvement activities
40
Cost
68.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Jun 24, 2022 Accepting new patients
Jamaica Hospital CurrentSince Jun 24, 2022 Accepting new patients
Flushing Hospital Medical Center CurrentSince Oct 8, 2019 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Oct 8, 2019 Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

14601 45th Ave
Ste 310
Flushing, NY 11355
Phone (718) 670-5468

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1124679725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HILLCREST BLVD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595116",
            "telephone_number": "908-304-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HILLCREST BLVD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595116",
            "telephone_number": "908-304-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGALONZO",
        "first_name": "APRILLE",
        "middle_name": "PALAC",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.