Jason Rafaele Mangiardi, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

14738 Issued in NH

Practice address

85 Spring St
Laconia, NH 03246-3113

Phone

(603) 524-7402

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Otolaryngology

Education

University of Pittsburgh School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
• Concord Hospital Hospital, Concord, NH, CCN 300001
• Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as apm

Quality

73.23

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as apm

Quality

73.23

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Concord Hospital-Laconia

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Concord Hospital, Inc.

  • Emergency Medicine Physician
  • Concord, NH
  • NPI 1194778571
  Medicare reassignment Care Compare group NPD
• Lrghealthcare

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1700976032
  Medicare reassignment NPD
• Concord Hospital-Franklin

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1114005535
  NPD
• Concord Hospital, Inc.

  • Psychiatric Hospital Unit
  • Concord, NH
  • NPI 1124070966
  NPD
• Concord Hospital, Inc.

  • General Practice Physician
  • Concord, NH
  • NPI 1801840764
  NPD
• Concord Hospital-Laconia

  • Dental Clinic/Center
  • Laconia, NH
  • NPI 1134226327
  NPD (past)
• ENT Associates of New Hampshire PA

  • Specialist
  • Laconia, NH
  • NPI 1952386971
  NPD (past)
• The New York Otolaryngology Group, PC

  • Clinic/Center
  • New York, NY
  • NPI 1811913080
  NPD (past)

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

• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation
• Huggins Hospital

  • Critical Access Hospital
  • Wolfeboro, NH
  • NPI 1366476079
  Care Compare affiliation
• Huggins Hospital

  • Family Medicine Physician
  • Moultonborough, NH
  • NPI 1639166077

  Hospital

  Care Compare affiliation
• Huggins Hospital

  • Family Medicine Physician
  • Alton, NH
  • NPI 1871534792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1144410325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-524-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SPRING ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463113",
            "telephone_number": "603-524-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Commercial St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015096",
            "country_code": "US",
            "telephone_number": "603-789-9150",
            "fax_number": "603-227-7592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36A E 36th St Ste 200",
            "address_2": "New York Otolaryngology Group (NYOG)",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163364",
            "country_code": "US",
            "telephone_number": "212-889-8575",
            "fax_number": "212-686-3292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGIARDI",
        "first_name": "JASON",
        "middle_name": "RAFAELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "2484851",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "14738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077636",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaina Ashworth Macmartin, BSW
• Adora Maharaj, M.D.
• Laurie Helen Maheu
• Micahel R Major, MS.,LCMHC
• Nadia A Malik, MD
• Donna Manna
• Denise Valerie Marden, MSW
• Chandler W Marietta, MD
• Craig Markert, MD
• Rebecca Lynn Marshall, BA

• Otolaryngology Physician in Laconia, NH
• Providers in Laconia, NH by specialty
• Otolaryngology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.