Individual provider Active NPI

Alexander Mangas, D.O.

  • Family Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1457785453
Registry record updated Sep 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
279866 Issued in NY
Practice address
243 Merrick Rd
Rockville Centre, NY 11570-5211
Phone
(516) 858-3724
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 279866 NY Primary

Addresses

Primary practice location

243 Merrick Rd
Rockville Centre, NY 11570-5211

Mailing address

243 Merrick Rd
Rockville Centre, NY 11570-5211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203002359 NY Practitioner - Family Practice 2860796398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

13434 Springfield Blvd
Springfield Gardens, NY 11413-1459
Phone (516) 537-9063

19 W Jericho Tpke
Huntington Station, NY 11746-3627
Phone (631) 604-4022

30 Hamilton St
Dobbs Ferry, NY 10522-2862
Phone (914) 202-2944

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

5145 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2118
Phone (347) 493-2945

527 Boulevard E
Yaphank, NY 11980-7512
Phone (631) 504-0427

5828 99TH St
Corona, NY 11368-4306
Phone (718) 502-9867

5828 99TH St Corona
Corona, NY 11368-4306
Phone (718) 502-9867

603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279866NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Nov 28, 2015 Accepting new patients
Northwell Health Laboratories Past Accepting new patients

Locations

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

243 Merrick Rd
Rockville Centre, NY 11570
Phone (516) 537-9063

Interoperability endpoints

  • Direct secure messaging: alexander.mangas@ghuc.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442102400000",
    "number": "1457785453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MERRICK RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MERRICK RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705211",
            "telephone_number": "516-858-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAS",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2015-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "279866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.