Individual provider Active NPI

Laura Janeen Mango, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1619110210
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
266466 Issued in NY
Practice address
100 High St
Buffalo, NY 14203-1126
Phone
(716) 630-1000
Fax
(716) 630-1348
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 266466 NY Primary

Addresses

Primary practice location

100 High St
Buffalo, NY 14203-1126

Mailing address

425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219

Other practice location 1

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 630-1000

Other practice location 2

6333 Main St
Williamsville, NY 14221-5800
Phone (716) 631-0834

Other practice location 3

585 Abbott Road
Buffalo, NY 14220
Phone (716) 630-1000

Other practice location 4

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 630-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address production@direct.buffalomedicalgroup.com

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
I20121022000778 NY Practitioner - Internal Medicine 5294985578 Reassigns benefits to 5 organizations
Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.31 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
83.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266466NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Roswell Park Cancer Institute CurrentSince May 27, 2017 Accepting new patients
Roswell Park Cancer Institute CurrentSince May 27, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York CurrentSince Jul 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Kaleida Health CurrentSince Aug 28, 2012 Accepting new patients
Kaleida Health Current Accepting new patients
Buffalo Medical Group, P.C. Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 1, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jul 1, 2020 Accepting new patients
Kaleida Health CurrentSince Aug 28, 2012 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jul 1, 2020 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Jul 1, 2020 Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

585 Abbott Rd
Buffalo, NY 14220

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

Elm and Carlton St
Buffalo, NY 14263

2157 Main St
#H
Buffalo, NY 14214
Phone (716) 862-1501

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

425 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1219

425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219

6333 Main St
Williamsville, NY 14221
Phone (716) 632-3545

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Interoperability endpoints

  • Direct secure messaging: production@direct.buffalomedicalgroup.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1619110210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESSJAY RD STE 170",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218235",
            "telephone_number": "716-630-1219",
            "fax_number": "716-817-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-630-1000",
            "fax_number": "716-630-1348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142142648",
            "country_code": "US",
            "telephone_number": "716-630-1000",
            "fax_number": "716-630-1348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6333 Main St",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215800",
            "country_code": "US",
            "telephone_number": "716-631-0834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "585 Abbott Road",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14220",
            "country_code": "US",
            "telephone_number": "716-630-1000",
            "fax_number": "716-630-1348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142213647",
            "country_code": "US",
            "telephone_number": "716-630-1000",
            "fax_number": "716-630-1348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGO",
        "first_name": "LAURA",
        "middle_name": "JANEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "production@direct.buffalomedicalgroup.com",
            "affiliation": "N",
            "address_1": "100 High St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142031126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.