DR. KEVIN C MANGE (NPI# 1497070189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497070189 |
| Entity Type | Individual |
| Full Name | DR. KEVIN C MANGE |
| Credential | MD. MSCE |
| Practice Address |
95 Old Short Hills Rd West Orange NJ 07052-1008 |
| Practice Telephone | 9733224292 |
| Mailing Telephone | 9733224292 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2013-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
059872L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
95 OLD SHORT HILLS RD |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866904 | Robert Pellechio | Pharmacist | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2005-10-27 |
| 1942748983 | Sbmc Provider Services | Emergency Medicine | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2017-02-10 |
| 1487192324 | Cmmc Provider Services | Internal Medicine | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2017-02-10 |
| 1245778281 | Nbimc Provider Services | Emergency Medicine | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2017-02-10 |
| 1972954725 | Radiation Oncology Group At Sbmc | Radiology | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2016-06-23 |
| 1699159335 | Barnabas Health Physician Associates PC | Internal Medicine | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2015-07-13 |
| 1467858209 | Sheryl Ciccarelli | Nurse Practitioner | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2014-11-05 |
| 1912310657 | Rosemarie Vasquez | Nurse Practitioner | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2014-06-10 |
| 1447680103 | Priscilla Swalm | Social Worker | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2013-11-16 |
| 1841629847 | Jamie Allen | Hospice Care, Community Based | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 | 2013-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972997146 | Adedamola Moji Adeboye | Internal Medicine | 111 Northfield Ave Ste 311, West Orange, NJ 07052-4703 | 2015-03-25 |
| 1013295286 | Center for Nephrology & Hypertension | Internal Medicine | 386 Saint Cloud Ave, West Orange, NJ 07052-2522 | 2011-07-21 |
| 1881655686 | Odler Jeanlouie | Internal Medicine | 60 Northfield Ave, The Health Institute, West Orange, NJ 07052-5336 | 2006-03-31 |
| 1518934207 | The Nephrology Group Pa | Internal Medicine | 111 North Field Avenue, Suite 311, West Orange, NJ 07052-4703 | 2006-03-02 |
| 1326013202 | Sanford Cooper | Internal Medicine | 111 Northfield Ave, Ste 311, West Orange, NJ 07052-4703 | 2006-02-22 |
| 1659346518 | Heather Nadine Lefkowitz | Internal Medicine | 111 Northfield Avenue, Suite 311, West Orange, NJ 07052-4703 | 2006-02-22 |
| 1609343672 | Revathi Kotla Md PC | Internal Medicine | 623 Eagle Rock Ave, West Orange, NJ 07052-2948 | 2018-10-29 |
| 1831384486 | Manickam Ganesh M.d., P.a. | Internal Medicine | 24 Park Ave, West Orange, NJ 07052-5517 | 2007-09-06 |
| 1700973203 | Craig Russell Goldstein | Internal Medicine | 111 Northfield Ave, Suite 311, West Orange, NJ 07052 | 2006-10-06 |
| 1770530529 | Hypertension Clinic PC | Internal Medicine | 60 Northfield Ave, West Orange, NJ 07052-5336 | 2006-05-27 |
| Find all providers in WEST ORANGE | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.