Individual provider Active NPI

Douglas M Manganelli, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Oakhurst, NJ
National Provider Identifier
1184665432
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA53302 Issued in NJ
Practice address
1907 Route 35
Suite 2
Oakhurst, NJ 07755-2765
Phone
(732) 275-7779
Fax
(732) 660-1998
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA53302 NJ Primary

Addresses

Primary practice location

1907 Route 35
Suite 2
Oakhurst, NJ 07755-2765

Mailing address

1907 Route 35
Suite 2
Oakhurst, NJ 07755-2765
Phone (732) 275-7779

Other identifiers 1

IdentifierTypeStateIssuer
5368405MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041018000235 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 6204896905 Reassigns benefits to 1 organization
I20250331003139 FL Practitioner - Anesthesiology 6204896905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Anesthesia Associates of New Jersey LLCGroup PAC ID 3173806114, 5 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Red Reef Anesthesia IncGroup PAC ID 3375078108, 31 clinicians

Practice addresses (Care Compare)

1921 Oak Tree Rd
Suite 201
Edison, NJ 08820-2073
Phone (732) 402-4300

306 E Hallandale Beach Blvd
Hallandale Outpatient Surgical Center
Hallandale Beach, FL 33009-5527
Phone (954) 458-1689

9075 S Federal Hwy
Port St Lucie, FL 34952-3405
Phone (772) 398-9898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA53302NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Anesthesia Services LLC CurrentSince Feb 17, 2025 Accepting new patients
Anesthesia Dynamics LLC Pain Medicine CurrentSince Feb 17, 2025 Accepting new patients
Red Reef Anesthesia Inc CurrentSince Aug 24, 2025 Accepting new patients
Precision Anesthesia Associates of New Jersey LLC CurrentSince Oct 18, 2024 Accepting new patients
Shore Gastroenterology Associates PC Past Accepting new patients
Jersey Shore Anesthesiology Associates PA Past Accepting new patients
Ocean Surgical Pavilion, PC Past Accepting new patients
Allied Digestive Health, LLC PastSince Jan 1, 2015 Accepting new patients
Red Bank Gastroenterology Associates, PA PastSince Aug 9, 1996 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

9075 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 393-9898

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

6110 SW 70th St
South Miami, FL 33143
Phone (305) 662-3100

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

1921 Oak Tree Rd
Ste 201
Edison, NJ 08820
Phone (732) 402-4300

Organizations & group practices 9

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184665432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 ROUTE 35",
            "address_2": "SUITE 2",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552765",
            "telephone_number": "732-275-7779",
            "fax_number": "732-660-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 ROUTE 35",
            "address_2": "SUITE 2",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552765",
            "telephone_number": "732-275-7779",
            "fax_number": "732-660-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANELLI",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA53302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5368405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

Verify at the official NPI Registry.