Giacomo Mangiaracina, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA57390 Issued in NJ

Practice address

1415 Heather Ridge Dr
Newtown, PA 18940

Phone

(609) 462-7790

Fax

(215) 550-6154

NPI assigned

Oct 10, 2005

Last updated

Jul 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affinity Care of NJ, LLC Hospice, Brick, NJ, CCN 311591
• Preferred Care at Hamilton Nursing home, Hamilton Square, NJ, CCN 315111

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bucks County Internal Medicine PC

  • Internal Medicine Physician
  • Newtown, PA
  • NPI 1427342260

  NJ

  Medicare reassignment Authorized official
• MD Mobile LLC

  dba Vasonix

  • Mobile Radiology Clinic/Center
  • Highlands, NJ
  • NPI 1063516631
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Care of NJ LLC

  • Community Based Hospice Care Agency
  • Brick, NJ
  • NPI 1578178281
  Care Compare affiliation

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1942298427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HEATHER RIDGE DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403731",
            "telephone_number": "609-462-7790",
            "fax_number": "215-550-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HEATHER RIDGE DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "18940",
            "telephone_number": "609-462-7790",
            "fax_number": "215-550-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIARACINA",
        "first_name": "GIACOMO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA57390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Mallya, PHARMD
• Lana J Malts, CCC-SLP
• Marissa Mancuso Abadia, M.A., BCBA
• Neil Mandalia, D.M.D.
• Valerie Mandelaro
• Korie Mangiaracina, RD
• Cassandra Mann
• Sharon Mannino
• Angela F Marchesani, CRNP
• Valerie Leigh Marchion, MSPT

• Internal Medicine Physician in Newtown, PA
• Providers in Newtown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.