Innovative Medical Partners

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

INNOVATIVE MEDICAL PARTNERS

Practice address

701 Upper Blvd
Ridgewood, NJ 07450-1124

Phone

(215) 817-1799

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Kevin F Mangone, DONPI 1366675548

Title

Owner

Phone

(215) 817-1799

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin F. Mangone, D.O.

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1366675548
  Medicare reassignment NPD Authorized official
• Carolina Cabral, M.D.

  • Cardiovascular Disease Physician
  • Morristown, NJ
  • NPI 1013183623
  Medicare reassignment NPD

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1215683842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N FRANKLIN TPKE",
            "address_2": "PO BOX # 3",
            "city": "HOHOKUS",
            "state": "NJ",
            "postal_code": "074239998",
            "telephone_number": "215-817-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UPPER BLVD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501124",
            "telephone_number": "215-817-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "MANGONE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-817-1799",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Pantinople Igot
• Catherine Illenye, LCSW
• Matthew Jospeh Imbriani, MSN, FNP-C
• Julian Infantino
• Ingenium Neuropsychology LLC
• Katherine S Inoyama, MD
• Integra Medical Group LLC
• Integrative Acupuncture Limited Liability Company
• Mohammed Waqas Iqbal, DDS
• Mahros K Isaac, P.T.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.