Organization Active NPI

Joseph Mangel, D.O. P.C.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1144261959
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
Legal business name
JOSEPH MANGEL, D.O. P.C.
Practice address
201 McKean St
Philadelphia, PA 19148-2627
Phone
(215) 755-2500
Fax
(215) 755-3890
NPI assigned
Jun 10, 2006
Organization subpart
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

Authorized official

Name
Dr. Joseph Mangel, D.O.NPI 1093759409
Title
Owner
Phone
(215) 755-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000243 PA Part B Supplier - Clinic/Group Practice 4486740388 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1144261959",
    "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": {
        "organization_name": "JOSEPH MANGEL, D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "MANGEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-755-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.