Vincenza Mangiolino, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

008396 Issued in NY

Practice address

225 Central Ave S
Bethpage, NY 11714-4940

Phone

(516) 293-2000

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71506

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.

• Ivy Medicine, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hauppauge, NY
  • NPI 1932328168
  NPD (past)
• Sarita Dorschug D.O. P.C.

  • Family Medicine Physician
  • Brentwood, NY
  • NPI 1538293733
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1790818136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 SUFFOLK AVE",
            "address_2": "STE 208",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174305",
            "telephone_number": "631-231-3535",
            "fax_number": "631-231-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CENTRAL AVE S",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144940",
            "telephone_number": "516-293-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIOLINO",
        "first_name": "VINCENZA",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mahon
• Essence Latryce Maita, MD
• Amman Malik
• Jennifer Mandell, M.D.
• Constantina Alexander Manetta, LMSW
• Julia Maniscalco, RN
• Richard Manoni, DC
• Miranda N Manquen, PA
• Craig H Marcus, M.D.
• Himanshu Markan

• Medical Physician Assistant in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.