Rhodora Mangaser MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA04576300 Issued in NJ

Legal business name

RHODORA MANGASER MD LLC

Practice address

600 Somerdale Rd
Suite 101
Voorhees, NJ 08043-1858

Phone

(856) 857-0002

Fax

(856) 857-0040

NPI assigned

Feb 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rhodora D Mangaser, MD

Title

Business Owner

Phone

(856) 857-0002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RHODORA MANGASER MD Former legal business name

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1689914780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOMERDALE RD",
            "address_2": "SUITE 101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431858",
            "telephone_number": "856-857-0002",
            "fax_number": "856-857-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERDALE RD",
            "address_2": "SUITE 101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431858",
            "telephone_number": "856-857-0002",
            "fax_number": "856-857-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODORA MANGASER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MANGASER",
        "authorized_official_first_name": "RHODORA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "856-857-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA04576300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHODORA MANGASER MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anil Kumar Rengan, MD
• Elizabeth Revesz, M.D.
• Darrian Reyes, DO
• Daniel Reynolds, M.D.
• Chalice C Rhodes, PH.D., LPC, NCC
• Michael Ricardo, D.O., M.S.
• Emily Ricci, MD
• Jennifer Anne Rich, MD
• Elizabeth Richards
• Mitchell S Richman, MD

• Primary Care Clinic/Center in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.