THOMAS J MANGO MD PC (NPI# 1609838259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609838259 |
| Entity Type | Organization |
| Organization Name | THOMAS J MANGO MD PC |
| Practice Address |
31 Oak St Suite 3 Patchogue NY 11772-2887 |
| Practice Telephone | 6317583911 |
| Practice Fax Number | 6317584072 |
| Mailing Telephone | 6317583911 |
| Mailing Fax Number | 6317584072 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GINA BANCROFT (MANAGER) |
| Authorized Official Telephone | 6317583911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 210442 | NY | Other Service Providers |
| Street Address |
31 OAK ST SUITE 3 |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-2887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871818393 | Albert C Esposito | Podiatrist | 31 Oak St, Ste 8, Patchogue, NY 11772-2841 | 2010-03-29 |
| 1356516652 | H. Tad Troutman | Psychologist | 31 Oak St, Suite 21, Patchogue, NY 11772-2841 | 2008-04-28 |
| 1376732289 | Marci Ann Mirisola | Counselor | 31 Oak St, Suite 7, Patchogue, NY 11772-2841 | 2007-10-16 |
| 1346324241 | Colleen Jean Kalman | Social Worker | 31 Oak St, Suite 21, Patchogue, NY 11772-2841 | 2006-10-25 |
| 1235240367 | Peter Lynn Kingan | Psychologist | 31 Oak St, 21, Patchogue, NY 11772-2887 | 2006-08-31 |
| 1780794081 | Albert C Esposito | Podiatrist | 31 Oak St, Suite #8, Patchogue, NY 11772-2841 | 2006-08-30 |
| 1013951557 | Linda S Kline | Social Worker | 31 Oak St, Suite 14, Patchogue, NY 11772-2887 | 2006-06-15 |
| 1336182682 | Sandra A Dacunha | Specialist | 31 Oak St, Suite 27, Patchogue, NY 11772-2887 | 2006-06-14 |
| 1821031550 | Irene F Dashiell | Social Worker | 31 Oak St, Suite 14, Patchogue, NY 11772-2887 | 2006-06-13 |
| 1386601359 | Sultana Yasmin Rahman | Family Medicine | 31 Oak St, Suite # 3, Patchogue, NY 11772-2841 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548787773 | Emily Colon | Specialist | 117 Millie Ct, Patchogue, NY 11772-4179 | 2017-08-28 |
| 1710432034 | Nancy Moloney | Specialist | 139 Rider Ave, Patchogue, NY 11772-3956 | 2016-08-16 |
| 1720444144 | Christopher Bila | Specialist | 127 La Bonne Vie Dr., Apt. J, Patchogue, NY 11772-4411 | 2016-01-14 |
| 1336520527 | Danielle Di Gioia | Specialist | 29 Cleveland St, Patchogue, NY 11772 | 2015-06-12 |
| 1669850905 | Nicole Danielle Mcginnis | Specialist | 123 Arlington St, Patchogue, NY 11772-1537 | 2015-05-06 |
| 1427447440 | Meryl Nani | Specialist | 106 Harper St, Patchogue, NY 11772-2460 | 2015-01-14 |
| 1518203702 | Jeffrey Vincent Rocco | Specialist | 28 Wood Ave, Patchogue, NY 11772-2830 | 2012-12-17 |
| 1710249768 | Jennifer Ann Stock | Specialist | 58 Prince St, Patchogue, NY 11772-1063 | 2012-06-14 |
| 1538421219 | Shannon Joan Cordova | Specialist | 102 Fairharbor Dr, Patchogue, NY 11772-3327 | 2012-06-08 |
| 1437410388 | Maria Bozena Syska | Specialist | 43 Pine Blvd, Patchogue, NY 11772-3644 | 2012-06-06 |
| Find all providers in PATCHOGUE | ||||
Please comment or provide details below to improve the information on THOMAS J MANGO MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.