David Thomas Manganaro, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08934100 Issued in NJ

Practice address

776 Shrewsbury Ave Ste 103B
Tinton Falls, NJ 07724-3006

Phone

(732) 383-7310

Fax

(732) 383-5924

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

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.

• Adult Medical Care, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Staten Island, NY
  • NPI 1215047980

  Internal Medicine

  NPD (past)
• Regional Physician Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1508857343
  NPD (past)
• University Physicians Group P C

  • General Practice Physician
  • Staten Island, NY
  • NPI 1104872134

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1811982200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE STE 103B",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-383-7310",
            "fax_number": "732-383-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE STE 103B",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-383-7310",
            "fax_number": "732-383-5924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Madison Ave",
            "address_2": "Suite 10 SW",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165421",
            "country_code": "US",
            "telephone_number": "212-421-0440",
            "fax_number": "212-421-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGANARO",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "171066",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08934100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet L Mahan, MD
• Rachael Anne Maher, APN
• Main Street Pharmacy, LLC (CVS Pharmacy #48304)
• John Malloy, M.O.T., B.S.,OTR/L
• Michele Mancuso, LCSW
• Shital V Mani, OD
• Luke Manjooran
• Jennifer Manner, LPC
• Adil Manzoor, D.O
• Marc Mehlman (Tinton Falls Dental Associates PA)

• Internal Medicine Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.