Active NPI
James F Mangano II, DO
- Emergency Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 271045
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271045 | NY | MD | Emergency Medicine Physician |
| 010448 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Emergency Medicine, Inc | Emergency Medicine | Current | Accepting new patients |
| Pic Indiana PC | Current | Accepting new patients | |
| River Hospital, Inc. | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| River Hospital, Inc. | Current | Accepting new patients | |
| North Medical PC | Emergency Medicine | Current | Accepting new patients |
| St Josephs Medical PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Critical Access Hospital
- Alexandria Bay, NY
- NPI 1003814641
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1275589582
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL
-
- Rural Health Clinic/Center
- Alexandria Bay, NY
- NPI 1831452994
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.