Active NPI
Monique Lenore Manganelli, MD
- Endocrinology, Diabetes & Metabolism Physician
- Ft Lauderdale, FL
National Provider Identifier
1659487536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME111004
- Practice address
- 4701 N Federal Hwy
Suite a-27
Ft Lauderdale, FL 33308-4608 - Phone
- (954) 938-9966
- Fax
- (954) 938-8227
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME111004 | FL | Primary |
Addresses
Primary practice location
4701 N Federal Hwy
Suite a-27
Ft Lauderdale, FL 33308-4608
Mailing address
4701 N Federal Hwy
Suite a-27
Fort Lauderdale, FL 33308-4608
Phone (954) 938-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4701 N Federal Hwy A27
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4608
Phone (954) 938-9966
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53301 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Primary Care, Inc | Current | Accepting new patients | |
| Holy Cross Hospital Inc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4701 N Federal Hwy
Ste A27
Ft Lauderdale, FL 33308
Phone (954) 491-9642
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
Interoperability endpoints
- mmanganelliorr2017034@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
Endocrinology, Diabetes & Metabolism
-
- Family Medicine Physician
- Coral Springs, FL
- NPI 1740637735
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1659487536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 N FEDERAL HWY",
"address_2": "SUITE A-27",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084608",
"telephone_number": "954-938-9966",
"fax_number": "954-938-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N FEDERAL HWY",
"address_2": "SUITE A-27",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084608",
"telephone_number": "954-938-9966",
"fax_number": "954-938-8227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGANELLI",
"first_name": "MONIQUE",
"middle_name": "LENORE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME111004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.