Individual provider Active NPI

Regina Marie Mangano, APN

  • Nurse Practitioner
  • Mullica Hill, NJ
National Provider Identifier
1760197230
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14913200 Issued in NJ
Practice address
698 Mullica Hill Rd Ste 330
Mullica Hill, NJ 08062-4453
Phone
(856) 845-3707
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ14913200 NJ Primary
Registered Nurse 163W00000X 26NR19441000 NJ

Addresses

Primary practice location

698 Mullica Hill Rd Ste 330
Mullica Hill, NJ 08062-4453

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

165 Bridgeton Pike
Mullica Hill, NJ 08062-2669
Phone (800) 467-7472

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222000244 NJ Practitioner - Nurse Practitioner 1658721253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-4192

1 Cooper PLZ
Camden, NJ 08103-1466

1 Federal St
Suite Sw200
Camden, NJ 08103-1005

1 Federal St
Suite Sw200
Camden, NJ 08103-1155

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

3 Cooper PLZ
Camden, NJ 08103-1438

3 Cooper PLZ
RM 104
Camden, NJ 08103-1407
Phone (856) 968-7965

401 Haddon Ave
FL 3
Camden, NJ 08103-1505
Phone (856) 757-7844

700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Phone (856) 508-1000

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR19441000NJMDRegistered Nurse
26NJ14913200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tricare at Inspira CurrentSince Aug 11, 2024 Accepting new patients
CMC Department of Medicine CurrentSince Dec 8, 2024 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Dec 8, 2024 Accepting new patients

Locations

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

698 Mullica Hill Rd
Ste 330
Mullica Hill, NJ 08062
Phone (856) 508-3707

165 Bridgeton Pike
Mullica Hill, NJ 08062
Phone (800) 467-7472

Interoperability endpoints

  • Direct secure messaging: rmangano49406@direct.cooperhealth.edu

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1760197230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 MULLICA HILL RD STE 330",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624453",
            "telephone_number": "856-845-3707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Bridgeton Pike",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622669",
            "country_code": "US",
            "telephone_number": "800-467-7472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGANO",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14913200",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR19441000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.