Individual provider Active NPI

Lora Mangus, M.D.

  • Pediatrics Physician
  • Lancaster, PA
National Provider Identifier
1508850850
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD434607 Issued in PA
Practice address
233 College Ave
Suite 200
Lancaster, PA 17603-3372
Phone
(717) 291-7221
NPI assigned
Sep 1, 2005
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD434607 PA Primary

Addresses

Primary practice location

233 College Ave
Suite 200
Lancaster, PA 17603-3372

Mailing address

233 College Ave
Suite 200
Lancaster, PA 17603-3372
Phone (717) 291-7221

Other identifiers 1

IdentifierTypeStateIssuer
200284500AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090423000272 PA Practitioner - Pediatric Medicine 3870641202 Reassigns benefits to 4 organizations
I20240116002693 NJ Practitioner - Pediatric Medicine 3870641202 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD434607PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Childrens Health Care Associates of New Jersey PC Pediatrics Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2017 Accepting new patients
Childens Health Care Associates of New Jersey PC CurrentSince Dec 9, 2023 Accepting new patients
Childrens Health Care Associates, Inc Pediatrics Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2017 Accepting new patients
Childen's Health Care Associates Inc. CurrentSince Dec 1, 2023 Accepting new patients
Childrens Health Care Associates, Inc Pediatrics CurrentSince Dec 1, 2023 Accepting new patients
Lancaster Pediatric Associates LTD CurrentSince Dec 7, 2024 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Children's Healthcare Associates of New Jersey PC Pediatrics CurrentSince Dec 9, 2023 Accepting new patients
Childrens Health Care Associates, Inc Past Accepting new patients
Lancaster Hma Physician Management, LLC Pediatrics Past Accepting new patients

Locations

707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

200 Bowman Dr
Voorhees, NJ 08043
Phone (215) 590-7448

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2106 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 291-5931

2106 Harrisburg Pike
Ste 1
Lancaster, PA 17601
Phone (717) 291-5931

2221 Noll Dr
Ste 2000
Lancaster, PA 17603
Phone (717) 715-1001

233 College Ave
Ste 200
Lancaster, PA 17603
Phone (717) 291-5446

233 College Ave
Ste 203
Lancaster, PA 17603
Phone (717) 396-9167

250 College Ave
#5
Lancaster, PA 17603
Phone (717) 291-8512

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3401 Civic Center Blvd
#M975
Philadelphia, PA 19104

222 Willow Valley Lakes Dr
Ste 100
Willow Street, PA 17584
Phone (717) 291-5931

Interoperability endpoints

  • Direct secure messaging: lmangus263398@directvirtua.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1508850850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 COLLEGE AVE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033372",
            "telephone_number": "717-291-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 COLLEGE AVE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033372",
            "telephone_number": "717-291-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUS",
        "first_name": "LORA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD434607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200284500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.