Enrico S Mango, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

131139 Issued in NY

Practice address

290 E Main Street
Suite 700
Smithtown, NY 11787

Phone

(631) 361-4802

Fax

(631) 361-5376

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 27, 2024 through Jun 27, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1497833693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E MAIN STREET",
            "address_2": "SUITE 700",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-361-4802",
            "fax_number": "631-361-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E MAIN STREET",
            "address_2": "SUITE 700",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-361-4802",
            "fax_number": "631-361-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGO",
        "first_name": "ENRICO",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "131139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Ann Malone, ANP-C
• Caitlin Anne Mancuso, MS, CCC-SLP
• Nya Mercedes Manesis, MA
• Christoforos Manessis
• Janice C Mangino
• Manhattan Medical Practice PC
• Charles T Mann, M.D.
• Heather Lee Mannkopf
• Tina M Mansky, LCSW
• Mantia Medical Associates

• Orthopaedic Surgery Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.