Individual provider Active NPI

James F Mangano II, DO

  • Emergency Medicine Physician
  • Syracuse, NY
National Provider Identifier
1891881603
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
271045 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-4363
Fax
(315) 464-8690
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010448 NY
Emergency Medicine Physician 207P00000X 271045 NY Primary

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

25 County Route 31
Oswego, NY 13126-6536
Phone (315) 529-7669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IN, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140808000409 NY Practitioner - Emergency Medicine 1850355108 Reassigns benefits to 5 organizations
I20220711001949 IN Practitioner - Emergency Medicine 1850355108 Reassigns benefits to 1 organization
I20230118000783 IL Practitioner - Emergency Medicine 1850355108 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
271045NYMDEmergency Medicine Physician
010448NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Emergency Medicine, Inc Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Pic Indiana PC CurrentSince Nov 1, 2022 Accepting new patients
River Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jul 1, 2023 Accepting new patients
River Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
North Medical PC Emergency Medicine Current Accepting new patients
St Josephs Medical PC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients

Locations

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

4800 W 129th St
Merrionette Park, IL 60803
Phone (708) 377-2169

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

7375 Oswego Rd
Liverpool, NY 13090
Phone (315) 291-0064

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • Direct secure messaging: jmangano5508@direct.upstate.edu

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1891881603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COUNTY ROUTE 31",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266536",
            "telephone_number": "315-529-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-4363",
            "fax_number": "315-464-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANO",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010448",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "271045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.