Active NPI
Jasdeep S Mangat, M.D.
- Internal Medicine Physician
- East Elmhurst, NY
National Provider Identifier
1649683293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 289274
- Practice address
- 1818 Hazen St
East Elmhurst, NY 11370 - Phone
- (347) 578-2259
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 289274 | NY | Primary |
Addresses
Primary practice location
1818 Hazen St
East Elmhurst, NY 11370
Mailing address
55 Water St FL 18
New York, NY 10041-0004
Phone (347) 578-2259
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289274 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Current | Accepting new patients | |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Internal Medicine | Current | Accepting new patients |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
Locations
450 Clarkson Ave
#59
Brooklyn, NY 11203
Phone (718) 270-2078
470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jmangat662108@nychhc.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1396318986
Internal Medicine
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1528027414
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1740853340
-
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
Internal Medicine
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1649683293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST FL 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "347-578-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 HAZEN ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "11370",
"telephone_number": "347-578-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGAT",
"first_name": "JASDEEP",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "289274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.