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

Last updated

Feb 26, 2013By the provider in NPPES

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, MDNPI 1881672830

Title

Business Owner

Phone

(856) 857-0002

Specialties & licenses 1

Addresses

Other names 1

• RHODORA MANGASER MD Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rhodora D Mangaser, MD

  • Pediatrics Physician
  • Voorhees, NJ
  • NPI 1881672830
  Authorized official Same address or phone

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": [],
    "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.