NPIMap

Organization Active NPI

E.S. Mango, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Smithtown, NY
National Provider Identifier
1861696684
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
131139 Issued in NY
Legal business name
E.S. MANGO, M.D., P.C.
Practice address
290 E Main St
Suite 700
Smithtown, NY 11787-2916
Phone
(631) 361-4802
Fax
(631) 361-5376
NPI assigned
Jun 14, 2007
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Enrico Sandro Mango, M.D.NPI 1497833693
Title
President
Phone
(631) 361-4802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 131139 NY Primary

Addresses

Primary practice location

290 E Main St
Suite 700
Smithtown, NY 11787-2916

Mailing address

290 E Main St
Suite 700
Smithtown, NY 11787-2916
Phone (631) 361-4802

National Provider Directory

National Provider Directory

Locations

290 E Main St
Ste 700
Smithtown, NY 11787
Phone (631) 361-4802

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1861696684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST",
            "address_2": "SUITE 700",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-361-4802",
            "fax_number": "631-361-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST",
            "address_2": "SUITE 700",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-361-4802",
            "fax_number": "631-361-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.S. MANGO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MANGO",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_middle_name": "SANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-361-4802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "131139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.