Marina Mangano, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00772100 Issued in NJ

Practice address

9505 3Rd Ave
Stone Harbor, NJ 08247-1928

Phone

(609) 600-7292

NPI assigned

Oct 12, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902317225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 3RD AVE",
            "city": "STONE HARBOR",
            "state": "NJ",
            "postal_code": "082471928",
            "telephone_number": "609-425-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 3RD AVE",
            "city": "STONE HARBOR",
            "state": "NJ",
            "postal_code": "082471928",
            "telephone_number": "609-600-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANO",
        "first_name": "MARINA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00772100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1902317225",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "address_1": "9505 3rd Ave",
            "city": "Stone Harbor",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082471928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harbor Family Practice PC
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• Isle of Wellness Physical Therapy and Rehabilitation, LLC
• Lorraine Carole King, M.D.
• John McAllister II, MD
• Shawn H Piper, D.M.D.
• Robert Reed Speer, D.O.
• John Kirby Tompkins IV, APRN FNP-BC
• Tara A Vogdes, DO

• Sports Physician Chiropractor in Stone Harbor, NJ
• Providers in Stone Harbor, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.