Active NPI
Mainland Pain Management Associates LLC
- Pain Medicine (Anesthesiology) Physician
- Linwood, NJ
National Provider Identifier
1942918230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- MAINLAND PAIN MANAGEMENT ASSOCIATES LLC
- Practice address
- 1201 New Rd Ste 112
Linwood, NJ 08221-1151 - Phone
- (267) 273-9083
- NPI assigned
- Nov 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dipty Mangla, MD
- Title
- Owner
- Phone
- (267) 273-9083
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1201 New Rd Ste 112
Linwood, NJ 08221-1151
Mailing address
1201 New Rd Ste 112
Linwood, NJ 08221-1151
Phone (267) 273-9083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1201 New Rd
Ste 112
Linwood, NJ 08221
Phone (267) 273-9083
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667779200000",
"number": "1942918230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NEW RD STE 112",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211151",
"telephone_number": "267-273-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NEW RD STE 112",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211151",
"telephone_number": "267-273-9083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINLAND PAIN MANAGEMENT ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A",
"authorized_official_last_name": "MANGLA",
"authorized_official_first_name": "DIPTY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-273-9083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.