Active NPI
Melissa Mangold, DO
- Internal Medicine Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS015440
- Practice address
- 3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438 - Phone
- (856) 968-7433
- Fax
- (856) 968-8499
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS015440 | PA | Primary |
Addresses
Primary practice location
3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Mailing address
3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000
1103 N Kings Hwy 203
Cherry Hill, NJ 08034
Phone (856) 321-1919
1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone (856) 641-7799
2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667
23 Cooper PLZ
Suite 311
Camden, NJ 08103-1461
Phone (856) 342-3044
501 N Kings Hwy
Cherry Hill, NJ 08034
Phone (856) 667-3300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 81.58
- Promoting interoperability
- 99.4
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Internal Medicine | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Cooper Physician Offices, PA | Internal Medicine | Current | Accepting new patients |
| The Cooper Health System | Past | Accepting new patients |
Locations
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
30 N Pearl St
Bridgeton, NJ 08302
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
Interoperability endpoints
- mmangold@direct.excelahealth.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
- Camden, NJ
- NPI 1154369510
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1699939561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 502",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-968-7433",
"fax_number": "856-968-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 502",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-968-7433",
"fax_number": "856-968-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGOLD",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS015440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.