Organization Active NPI

Bucks County Internal Medicine PC

  • Internal Medicine Physician
  • Newtown, PA
National Provider Identifier
1427342260
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05739000 Issued in NJ
Legal business name
BUCKS COUNTY INTERNAL MEDICINE PC
Practice address
1415 Heather Ridge Dr
Newtown, PA 18940
Phone
(609) 462-7790
Fax
(215) 550-6154
NPI assigned
Jun 8, 2011
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Giacomo Mangiaracina, MDNPI 1942298427
Title
Owner
Phone
(609) 462-7790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD44780L PA
Internal Medicine Physician 207R00000X 25MA05739000 NJ Primary
Physical Medicine & Rehabilitation Physician 208100000X NU

Addresses

Primary practice location

1415 Heather Ridge Dr
Newtown, PA 18940

Mailing address

1415 Heather Ridge Dr
Newtown, PA 18940-3731
Phone (609) 462-7790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110721000142 NJ Part B Supplier - Clinic/Group Practice 8325216161 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, NJ; Newtown, PA; Hamilton TWP, NJ

National Provider Directory

National Provider Directory

Locations

3840 Quakerbridge Rd
Bldg 2
Mercerville, NJ 08619
Phone (267) 392-5746

5 Nami Ln
Ste 5
Mercerville, NJ 08619
Phone (609) 890-4200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1427342260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HEATHER RIDGE DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403731",
            "telephone_number": "609-462-7790",
            "fax_number": "215-550-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HEATHER RIDGE DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "18940",
            "telephone_number": "609-462-7790",
            "fax_number": "215-550-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS COUNTY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "MANGIARACINA",
        "authorized_official_first_name": "GIACOMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-462-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD44780L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05739000",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.