Active NPI
Marc Mangulabnan
- Physical Therapist
- Howell, NJ
National Provider Identifier
1982004115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01570500
- Practice address
- 528 New Friendship Rd
Howell, NJ 07731-2978 - Phone
- (732) 901-8844
- NPI assigned
- Aug 25, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01570500 | NJ | Primary |
Addresses
Primary practice location
528 New Friendship Rd
Howell, NJ 07731-2978
Mailing address
558 Highway 35
Red Bank, NJ 07701-5066
Phone (732) 219-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Touch Physiotherapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Howell, NJ
- NPI 1932249281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1982004115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 HIGHWAY 35",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015066",
"telephone_number": "732-219-5700",
"fax_number": "732-219-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 NEW FRIENDSHIP RD",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077312978",
"telephone_number": "732-901-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGULABNAN",
"first_name": "MARC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01570500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.