Charles William Mango, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

223862-1 Issued in NY

Practice address

915 Palmer Rd
Bronxville, NY 10708-3304

Phone

(914) 793-6900

Fax

(914) 779-7810

NPI assigned

Apr 27, 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

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

Specialty

Ophthalmology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Island Vitreo Retinal Consultants PCGroup PAC ID 1355232158, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score

99.9 of 100Reported as group

Quality

99.81

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: cmango@vrcnortheast.intellechartdirect.net
• Direct secure messaging: chm9020@direct.nyp.org

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.

• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1437262755
  Medicare reassignment Care Compare group NPD
• Steven R Bodine, M.D.

  • Ophthalmology Physician
  • Bronxville, NY
  • NPI 1457342123
  Medicare reassignment
• Long Island Vitreo Retinal Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1740474402
  NPD (past)
• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Elmhurst, NY
  • NPI 1235242553
  NPD (past)
• Jules Stein Eye Institute Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1770938292
  NPD (past)

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

• The New York and Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1144504044
  Care Compare affiliation
• The New York and Presbyterian Hospital

  • Ambulance
  • New York, NY
  • NPI 1174628473

  Hospital

  Care Compare affiliation
• The New York and Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1194832477
  Care Compare affiliation
• The New York and Presbyterian Hospital

  • General Acute Care Hospital
  • Bronxville, NY
  • NPI 1780196345
  Care Compare affiliation
• The New York and Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1952332801
  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528025129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PALMER RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083304",
            "telephone_number": "914-793-6900",
            "fax_number": "914-779-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PALMER RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083304",
            "telephone_number": "914-793-6900",
            "fax_number": "914-779-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGO",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "223862-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyonsabaservices
• Jose E Maccera, M.D.
• Madeline Maldonado, LCSW Consulting P.C.
• Joseph E Magaro, MD
• Madeline Maldonado, LCSW-R, LCSW, LSCSW
• Maria Cristina Manjarres
• Aza Mantashashvili, CMHC
• Vincent Fiore Manzo, PA-C
• Joanne Seidel Maresca, RN, NNP
• Consuella Georgiana Margineanu Albastroiu, MD

• Ophthalmology Physician in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.