Thomas Mangiaracina, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

124929 Issued in NY

Practice address

170 Taylor Road
Box 115
Mountainville, NY 10953-0115

Phone

(845) 551-0140

Fax

(845) 534-4229

NPI assigned

Oct 2, 2006

Last updated

May 27, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hudson Valley Pulmonary & Med Assoc PC

  • Pulmonary Disease Physician
  • New Windsor, NY
  • NPI 1649384678
  NPD (past) Authorized official
• Hudson Valley Pulmonary & Medical Associates

  • Pulmonary Disease Physician
  • New Windsor, NY
  • NPI 1639436355
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1992898985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "MOUNTAINVILLE",
            "state": "NY",
            "postal_code": "109530115",
            "telephone_number": "845-551-0140",
            "fax_number": "845-534-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 TAYLOR ROAD",
            "address_2": "BOX 115",
            "city": "MOUNTAINVILLE",
            "state": "NY",
            "postal_code": "109530115",
            "telephone_number": "845-551-0140",
            "fax_number": "845-534-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIARACINA",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "124929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renate Frieda Herzich, RD, CDE, CDN

• Pulmonary Disease Physician in Mountainville, NY
• Providers in Mountainville, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.