Virgilio Mangonon, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MA39916 Issued in NJ

Practice address

525 Jack Martin Blvd
Suite 300
Brick, NJ 08724-7737

Phone

(732) 840-0067

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Advanced Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Howell, NJ
  • NPI 1790910487
  NPD (past)
• Atlantic Coast Gastroenterology Associates

  • Gastroenterology Physician
  • Brick, NJ
  • NPI 1679512578
  NPD (past)
• Bayonne Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Bayonne, NJ
  • NPI 1568576262
  NPD (past)
• Coastal Gastroenterology Associates, P.a.

  • Internal Medicine Physician
  • Brick, NJ
  • NPI 1336298629
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1356330773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W 56TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022210",
            "telephone_number": "201-487-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JACK MARTIN BLVD",
            "address_2": "SUITE 300",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247737",
            "telephone_number": "732-840-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGONON",
        "first_name": "VIRGILIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA39916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen E Manalio, LCSW
• Manchester Brick Vision Center
• Brandee Mancuso, CRNA
• Stephanie Manfredi, LCADC
• Patrick A Mangan, PT
• Madison Bella Mangot, DO
• Gina Suzanne Maniar, D.O.
• Yitzchok Manies, NP
• Charles Mankrious, RPH
• Sunita Singh Mann, M.D.

• Anesthesiology Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.