Anacleto Jr Apostol Mangaser, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

136240 Issued in NY

Practice address

1 Sheridan Drive
Dupont Yerkes Medical Dept
Buffalo, NY 14207

Phone

(716) 879-4523

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184831844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213440",
            "telephone_number": "716-689-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHERIDAN DRIVE",
            "address_2": "DUPONT YERKES MEDICAL DEPT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14207",
            "telephone_number": "716-879-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGASER",
        "first_name": "ANACLETO JR",
        "middle_name": "APOSTOL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "136240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "S-136240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Mandujano, M.D.
• Scott Mang, MD
• David F Mangan, MD
• Jennifer Manganaro, FNP
• Mary E Manganaro, P.A.
• Michelle Mangaser, PHARM.D.
• Amanpreet Mangat, M.D.
• Kristy Ann Mangione Barber, LCSW
• Laura Janeen Mango, M.D.
• Rose-Marie Mango, MSED, CCC/SLP

• Occupational Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Occupational Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.