Jason Mang, O.T.R./L.

Primary specialty

SpecialistTaxonomy code 174400000X

License

007172-1 Issued in NY

Practice address

1901 Sweet Home Rd
Amherst, NY 14228-5312

Phone

(716) 250-1234

NPI assigned

Nov 22, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nys Dept Education Sweet Home Central School Dist 7

  • Local Education Agency (LEA)
  • Amherst, NY
  • NPI 1457491235
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1184926354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MANG AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172632",
            "telephone_number": "716-510-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142285312",
            "telephone_number": "716-250-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANG",
        "first_name": "JASON",
        "credential": "O.T.R./L.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "007172-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Maloney, MA, CCC-SLP
• Kelly Kathryn Malstrom, DPT
• Marcus Maltby, MSW
• Leah Mamassian
• Catherine Ann Manahan
• Michele Manka-Black, M.D.
• Matthew Mann
• Joshua David Manning
• Klara Manning, PHARM.D.
• Kayla Rose Mansfield, ATC

• Specialist in Amherst, NY
• Providers in Amherst, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.