NPIMap

Individual provider Active NPI

Kevin F. Mangone, D.O.

  • Internal Medicine Physician
  • Newton, NJ
National Provider Identifier
1366675548
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB09375400 Issued in NJ
Practice address
175 High St
Newton Memorial Hospital
Newton, NJ 07860-1004
Phone
(973) 383-2121
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB09375400 NJ Primary

Addresses

Primary practice location

175 High St
Newton Memorial Hospital
Newton, NJ 07860-1004

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (973) 656-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131219000691 NJ Practitioner - Internal Medicine 1557598547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Upper Blvd Ridgewood
Ridgewood, NJ 07450-1124
Phone (215) 817-1799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.32 of 100Reported as individual
Quality
95.89
Improvement activities
0
Cost
81.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Bergen Hospitalists CurrentSince Sep 4, 2018 Accepting new patients
Integrated Hospital Medicine LLC CurrentSince Jun 18, 2018 Accepting new patients
Innovative Medical Partners CurrentSince Jan 8, 2022 Accepting new patients
Vital Medical Forces of Dover PC Internal Medicine Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

175 High St
Newton, NJ 07860
Phone (973) 383-2121

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701

Interoperability endpoints

  • Direct secure messaging: kmangone703107@ahs.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1366675548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "973-656-6280",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HIGH ST",
            "address_2": "NEWTON MEMORIAL HOSPITAL",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601004",
            "telephone_number": "973-383-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGONE",
        "first_name": "KEVIN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09375400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.