Aditya Mangla (NPI# 1548453285, PAC ID# 4486834512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1548453285 |
| PAC ID by PECOS | 4486834512 |
| Professional Enrollment ID | I20110208000019 |
| Full Name | Aditya Mangla |
| Organization Legal Name | MEDEX DIAGNOSTIC AND TREATMENT CENTER, LLC |
| Address |
11129 Queens Blvd Forest Hills NY 11375-5553 |
| Phone Number | 7182758900 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2004 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1456336445 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330014 | JAMAICA HOSPITAL MEDICAL CENTER |
| 330119 | LENOX HILL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11129 Queens Blvd, Forest Hills, NY 11375-5553 | 7182758900 | MEDEX DIAGNOSTIC AND TREATMENT CENTER, LLC |
| 89 -40, Jamaica, NY 11418-2832 | 7182065200 | TJH MEDICAL SERVICES PC |
| 8900 Van Wyck Expressway, Jamaica, NY 11418-2832 | TJH MEDICAL SERVICES PC | |
| 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | TJH MEDICAL SERVICES PC | |
| 300 Community Dr, Manhasset, NY 11030-3816 | NORTH SHORE-LIJ MEDICAL PC | |
| 300 Community Dr Ll, Manhasset, NY 11030-3816 | 5165622229 | NORTH SHORE-LIJ MEDICAL PC |
| 330 Community Dr, Manhasset, NY 11030-3816 | 5167082550 | NORTH SHORE-LIJ MEDICAL PC |
| 350 Community Dr, Manhasset, NY 11030-3816 | 5165623845 | NORTH SHORE-LIJ MEDICAL PC |
| 100 E 77th St, New York, NY 10075-1850 | NORTH SHORE-LIJ MEDICAL PC | |
| 111 E 77th St, New York, NY 10075-1850 | 2124343966 | NORTH SHORE-LIJ MEDICAL PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 32% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 32% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 32% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 89% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 89% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 89% |
| Organization Legal Name | MEDEX DIAGNOSTIC AND TREATMENT CENTER, LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Levin | Otolaryngology | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Cassandra M Rankine | Clinical Social Worker | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Alexander Gimpelevich | Physical Medicine and Rehabilitation | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Irina Benyaminova | Family Medicine | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Herbert Feuer | Clinical Social Worker | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Ron S Bakal | Urology | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Rosemarie E Ieda | Clinical Social Worker | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Rodrigo J Sipalay | Physical Therapy | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Marina B Yakubova | Physician Assistant | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Gary J Guarnaccia | Obstetrics/gynecology | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Street Address |
11129 QUEENS BLVD |
| City | FOREST HILLS |
| State | NY |
| Zip | 11375-5553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Levin | Otolaryngology | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Cassandra M Rankine | Clinical Social Worker | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Alexander Gimpelevich | Physical Medicine and Rehabilitation | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Irina Benyaminova | Family Medicine | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Herbert Feuer | Clinical Social Worker | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Ron S Bakal | Urology | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Rosemarie E Ieda | Clinical Social Worker | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Rodrigo J Sipalay | Physical Therapy | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Marina B Yakubova | Physician Assistant | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Gary J Guarnaccia | Obstetrics/gynecology | Medex Diagnostic and Treatment Center, LLC | 11129 Queens Blvd, Forest Hills, NY 11375-5553 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Boris Kapelnik | Optometry | Mega Vision Center II,llc | 63 -73, Forest Hills, NY 11375 |
| Mehran Manouel | Orthopedic Surgery | 76 -55 Austin St, Forest Hills, NY 11375 | |
| Natalya Rooney | Optometry | Mega Vision Center II,llc | 63 -73, Forest Hills, NY 11375 |
| Galina Iskhakov | Clinical Social Worker | 7009 Austin St, Suite 205, Forest Hills, NY 11375-1012 | |
| Eleonora Rubin | Psychiatry | 7009 Austin St, Suite 203, Forest Hills, NY 11375-1012 | |
| Irina I Mavasheva | Clinical Social Worker | 7009 Austin St, Suite 203, Forest Hills, NY 11375-1012 | |
| Arthur Pinkhasov | Internal Medicine | Genuine Care Physician PC | 10255 63rd Rd, Forest Hills, NY 11375-1048 |
| Meenu Gupta | Obstetrics/gynecology | Dr Rakesh Gupta-dr Meenu Gupta Medical PC | 10555 62nd Dr, Forest Hills, NY 11375-1101 |
| Rakesh Kumar Gupta | Internal Medicine | Dr Rakesh Gupta-dr Meenu Gupta Medical PC | 10555 62nd Dr, Forest Hills, NY 11375-1101 |
| Elvira Callahan | Podiatry | 6259 108th St, 1l, Forest Hills, NY 11375-1307 | |
| Find all physicians in zip 11375 | |||
| City | FOREST HILLS |
| Zip Code | 11375 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FOREST HILLS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Aditya Mangla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.