RICHARD MANGI (NPI# 1619976917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619976917 |
Entity Type | Individual |
Full Name | RICHARD MANGI |
Credential | MD |
Practice Address |
9 Washington Ave Hamden CT 06518-3267 |
Mailing Address |
9 Washington Ave 2nd Floor Hamden CT 06518-3267 |
Practice Telephone | 2032483049 |
Mailing Telephone | 2032483013 |
Mailing Fax Number | 2032482878 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2011-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
014693 | CT | Allopathic & Osteopathic Physicians |
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
014693 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | OXFORD | NHS097 | 01 |
CT | HEALTH NET | 0Q2052 | 01 |
CT | AETNA | 2047700 | 01 |
CT | CONNECTICARE | 014693 | 01 |
CT | BLUE CROSS BLUE SHIELD | 010014693CT01 | 01 |
CT | RAILROAD MEDICARE | 440002123 | 01 |
Street Address |
9 WASHINGTON AVE |
City | HAMDEN |
State | CT |
Zip Code | 06518-3267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043216575 | Louis Iorio | Orthopaedic Surgery | 9 Washington Ave, Hamden, CT 06518-3267 | 2005-06-21 |
1346621612 | Sandra Byrnes | Nurse Practitioner | 9 Washington Ave, Hamden, CT 06518-3267 | 2015-06-12 |
1114322153 | Shahana Lee Theriault | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2014-11-04 |
1598178428 | Connecticut Orthopaedic Specialists, PC | Occupational Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2014-06-09 |
1770995698 | Connecticut Orthopaedic Specialists, PC | Internal Medicine | 9 Washington Ave, Hamden, CT 06518-3267 | 2014-05-27 |
1881005692 | Jeeten Singha | Podiatrist | 9 Washington Ave, Hamden, CT 06518 | 2014-05-14 |
1437591971 | Randall L Owen | Physician Assistant | 9 Washington Ave, Hamden, CT 06518-3267 | 2013-07-25 |
1912286295 | Maria Rose Longobardi Hague | Physical Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2011-08-04 |
1174842546 | Rachel Boyarsky | Pediatrics | 9 Washington Ave, Hamden, CT 06518-3267 | 2010-05-25 |
1558590349 | Krista Fiorentino Nolan | Physical Therapist | 9 Washington Ave, Hamden, CT 06518-3267 | 2009-07-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
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Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417956962 | Bernard Adelsberg | Internal Medicine | 2416 Whitney Ave, Hamden, CT 06518-3248 | 2005-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659859080 | Coastal Connecticut Medical Group Pllc | Internal Medicine | 2900 Main St Bldg Suite1f, Stratford, CT 06614-4946 | 2018-07-28 |
1376957894 | Allercenter 1 LLC | Internal Medicine | 35 Mill Stone Cir, Stamford, CT 06903-3513 | 2014-06-12 |
1891792529 | George A Sprecace | Internal Medicine | 400 Bayonet St, Suite Ll2, New London, CT 06320-2600 | 2005-07-07 |
1831552546 | Kelsey Kaman | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2016-03-30 |
1922327295 | Paula Whittington | Internal Medicine | 20 York St # T-209, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2010-05-25 |
1780845768 | Jason Robert Catanzaro | Internal Medicine | 333 Cedar Street, New Haven, CT 06520 | 2008-06-23 |
1235211863 | Margaret Elizabeth Sweeney | Internal Medicine | 148 East Ave, Suite 1g1, Norwalk, CT 06851-5721 | 2006-10-20 |
1427080126 | David Mitchell Zolov | Internal Medicine | 70 Main St, Danbury, CT 06810-7832 | 2006-07-06 |
1235176595 | Allergy Associates of New London, PC | Internal Medicine | 400 Bayonet St, Suite Ll2, New London, CT 06320-2600 | 2006-06-02 |
1154304608 | Francis M Lobo | Internal Medicine | 789 Howard Ave, Primary Care Center, New Haven, CT 06519-1304 | 2005-11-29 |
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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.