VIRGILIO MANGONON (NPI# 1356330773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356330773 |
| Entity Type | Individual |
| Full Name | VIRGILIO MANGONON |
| Credential | M.D. |
| Practice Address |
525 Jack Martin Blvd Suite 300 Brick NJ 08724-7737 |
| Mailing Address |
138 W 56th St Bayonne NJ 07002-2210 |
| Practice Telephone | 7328400067 |
| Mailing Telephone | 2014877227 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MA39916 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0471003 | 05 |
| Street Address |
525 JACK MARTIN BLVD SUITE 300 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144710088 | Thompson Medical and Chiropractic LLC | Chiropractor | 525 Jack Martin Blvd, Brick, NJ 08724-7737 | 2018-05-16 |
| 1922558816 | Kevin Lyons | Acupuncturist | 525 Jack Martin Blvd, Brick, NJ 08724-7737 | 2016-10-04 |
| 1336309673 | Brian Wolfman | Internal Medicine | 525 Jack Martin Blvd, 300, Brick, NJ 08724-7737 | 2008-06-10 |
| 1154525699 | Elizabeth Flores Nepomuceno | Pediatrics | 525 Jack Martin Blvd, Brick, NJ 08724 | 2007-06-11 |
| 1336298629 | Coastal Gastroenterology Associates, P.a. | Internal Medicine | 525 Jack Martin Blvd, Suite 300, Brick, NJ 08724-7737 | 2007-01-09 |
| 1255421582 | Lionel Diaz Foz | Pediatrics | 525 Jack Martin Blvd, Sute 102, Brick, NJ 08724 | 2006-10-16 |
| 1689764466 | Neal Jeffrey Winzelberg | Internal Medicine | 525 Jack Martin Blvd, Suite 300, Brick, NJ 08724 | 2006-10-13 |
| 1659469005 | Pacifico Aguila Magahis Jr. | Internal Medicine | 525 Jack Martin Blvd, Suite 301, Brick, NJ 08724-7737 | 2006-10-11 |
| 1962507251 | Assif Rozovsky | Internal Medicine | 525 Jack Martin Blvd, Suite 300, Brick, NJ 08724-7737 | 2006-09-13 |
| 1376646687 | Shrikrishna Kashinath Mate | Pediatrics | 525 Jack Martin Blvd, Suite 102, Brick, NJ 08724 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649409582 | Specialty Surgery Anesthesiology, LLC | Anesthesiology | 74 Brick Blvd, Brick Pavillion Bldg 3, Brick, NJ 08723-7984 | 2009-07-14 |
| 1477562452 | Gullie E Bruce Iv | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-08-07 |
| 1194744540 | Charles G Schade | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-07-18 |
| 1265463426 | Perioperative Ambulatory Anesthesiology Partners, LLC | Anesthesiology | 495 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-07-06 |
| 1598794588 | Michael B Cohen | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-07-02 |
| 1225067218 | James Martin Higgins | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-07-02 |
| 1861421851 | Kenneth Marshall Reid | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-07-02 |
| 1891724332 | Frank Anthony Barone | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-06-30 |
| 1700815248 | James D Ofeldt | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-06-30 |
| 1619906153 | Kalpana Shah | Anesthesiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-06-30 |
| Find all providers in BRICK | ||||
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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.