RHODORA MANGASER MD LLC (NPI# 1689914780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689914780 |
Entity Type | Organization |
Organization Name | RHODORA MANGASER MD LLC |
Other Organization Name | RHODORA MANGASER MD |
Practice Address |
600 Somerdale Rd Suite 101 Voorhees NJ 08043-1858 |
Practice Telephone | 8568570002 |
Practice Fax Number | 8568570040 |
Mailing Telephone | 8568570002 |
Mailing Fax Number | 8568570040 |
Enumeration Date | 2013-02-26 |
Last Update Date | 2013-02-26 |
Authorized Official Name | DR. RHODORA D MANGASER (BUSINESS OWNER) |
Authorized Official Telephone | 8568570002 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA04576300 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 2218607 | 05 |
Other Name | Type Code |
---|---|
RHODORA MANGASER MD | Former Legal Business Name - Organization |
Street Address |
600 SOMERDALE RD SUITE 101 |
City | VOORHEES |
State | NJ |
Zip Code | 08043-1858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881672830 | Rhodora D Mangaser | Pediatrics | 600 Somerdale Rd, Suite 101, Voorhees, NJ 08043-1858 | 2006-01-09 |
1063893980 | Advocare, LLC | Orthopaedic Surgery | 600 Somerdale Rd, Suite 113, Voorhees, NJ 08043-1858 | 2015-06-16 |
1831464882 | Yves Manigat Md Pa | Surgery | 600 Somerdale Rd, Suite 209, Voorhees, NJ 08043-1858 | 2012-03-08 |
1548401524 | Phillip Alan Levin | Chiropractor | 600 Somerdale Rd, Suite 206 Echelon Med. Ctr., Voorhees, NJ 08043-1858 | 2009-03-20 |
1730302274 | Kathryn Theresa Gollotto | Physical Medicine & Rehabilitation | 600 Somerdale Rd, Suite 113, Voorhees, NJ 08043-1858 | 2007-04-11 |
1932234432 | Brian Campenella | Physician Assistant | 600 Somerdale Rd, Suite 113, Voorhees, NJ 08043-1858 | 2007-02-23 |
1265593255 | Gary Neil Goldstein | Orthopaedic Surgery | 600 Somerdale Rd, Suite 215, Voorhees, NJ 08043-1858 | 2006-12-13 |
1568534758 | Orthopedic Reconstruction Specialists LLC | Orthopaedic Surgery | 600 Somerdale Rd, Suite 113, Voorhees, NJ 08043 | 2006-11-14 |
1477643211 | Yves J. Manigat | Surgery | 600 Somerdale Rd, Suite 209, Voorhees, NJ 08043-1858 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1386943819 | Kwak Family Medicine, PC | Clinic/Center | 2301 Evesham Rd, Suite 505, Voorhees, NJ 08043-4506 | 2011-03-23 |
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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.