Active NPI
Ed Fortune Aguilos Mangio, AGNP-BC
- Nurse Practitioner
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2304159
- Practice address
- 119 Belmont St
Worcester, MA 01605-2903 - Phone
- (508) 334-8515
- Fax
- (508) 334-6490
- NPI assigned
- Nov 1, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2304159 | MA | Primary |
Addresses
Primary practice location
119 Belmont St
Worcester, MA 01605-2903
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
100 South St
Southbridge, MA 01550-4051
Phone (508) 909-7733
Other practice location 2
235 North Pearl St
Brockton, MA 02301
Phone (508) 427-3000
Other practice location 3
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-8515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110108801A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000
157 Union St
Marlborough, MA 01752-1228
Phone (508) 481-5000
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
Hospital & facility affiliations
- Umass Memorial Medical Center/University Campus
- Marlborough Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2304159 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts II PC | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Sound Physicians of Massachusetts, Inc | Nurse Practitioner | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Current | Accepting new patients | |
| Marlborough Hospitalist Group, PLLC | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients |
Locations
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
800 Washington St
Norwood, MA 02062
Phone (781) 278-6264
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- emangio259768@direct.bmc.masshiway.net
Organizations & group practices 11
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
- Boston, MA
- NPI 1245320910
-
- Hospitalist Physician
- Marlborough, MA
- NPI 1316639321
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Nurse Practitioner
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1306376397
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
Nurse Practitioner
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1659700599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052903",
"telephone_number": "508-334-8515",
"fax_number": "508-334-6490"
}
],
"practiceLocations": [
{
"address_1": "100 South St",
"address_purpose": "LOCATION",
"city": "Southbridge",
"state": "MA",
"postal_code": "015504051",
"country_code": "US",
"telephone_number": "508-909-7733",
"fax_number": "508-909-7735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 North Pearl St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "02301",
"country_code": "US",
"telephone_number": "508-427-3000",
"fax_number": "508-427-2209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-8515",
"fax_number": "508-334-6490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGIO",
"first_name": "ED FORTUNE",
"middle_name": "AGUILOS",
"credential": "AGNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-01",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2304159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110108801A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.