Active NPI
John Mangano, RPH DPM
- Podiatrist
- Plymouth Meeting, PA
National Provider Identifier
1891789129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003006 L
- Practice address
- 2 E Valley Creek Rd
Plymouth Meeting, PA 19462-7147 - Phone
- (610) 279-9320
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003006 L | PA | Primary |
Addresses
Primary practice location
2 E Valley Creek Rd
Plymouth Meeting, PA 19462-7147
Mailing address
7348 Hiola Rd
Philadelphia, PA 19128-1413
Phone (215) 482-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110208000928 | PA | Practitioner - Podiatry | 6103006101 | Practice locations: Ambler, PA; Lafayette Hill, PA; Philadelphia, PA; Wyndmoor, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC003006 L | PA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1891789129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7348 HIOLA RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281413",
"telephone_number": "215-482-1122",
"fax_number": "215-482-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 E VALLEY CREEK RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194627147",
"telephone_number": "610-279-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGANO",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "RPH DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003006 L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.