MR. JUSTIN MANGANARO (NPI# 1568765485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568765485 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN MANGANARO |
| Credential | PNP |
| Practice Address |
88 Washington St Taunton MA 02780-2465 |
| Practice Telephone | 5088285000 |
| Mailing Telephone | 5088285000 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2016-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN00140 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN266873 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
88 WASHINGTON ST |
| City | TAUNTON |
| State | MA |
| Zip Code | 02780-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649208 | Rogelio Bayog | Psychiatry & Neurology | 88 Washington St, Morton Hospital, Taunton, MA 02780-2465 | 2005-09-19 |
| 1154816486 | Kara Orosco | Anesthesiology | 88 Washington St, Taunton, MA 02780-2465 | 2018-06-28 |
| 1073021986 | Morton Hospital, A Steward Family Hospital, Inc. | Psychiatry & Neurology | 88 Washington St, Taunton, MA 02780-2465 | 2018-01-12 |
| 1063953164 | Michael Levasseur | Physician Assistant | 88 Washington St, Taunton, MA 02780-2465 | 2017-03-09 |
| 1952847881 | Melissa A Doughtie | Dietitian, Registered | 88 Washington St, Taunton, MA 02780-2465 | 2017-01-17 |
| 1407390149 | Emma Jane Whisner | Counselor | 88 Washington St, Taunton, MA 02780-2465 | 2016-12-15 |
| 1316397250 | Neal Norcliffe | Social Worker | 88 Washington St, Taunton, MA 02780-2465 | 2016-06-21 |
| 1134579444 | Elizabeth Samson | Counselor | 88 Washington St, Taunton, MA 02780-2465 | 2016-06-16 |
| 1477919850 | Courtney Bendiksen | Nurse Practitioner | 88 Washington St, Taunton, MA 02780-2465 | 2016-01-14 |
| 1336516079 | Dayna Beth Gardner | Nurse Practitioner | 88 Washington St, Morton Hospital, Taunton, MA 02780-2465 | 2015-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766338 | Peter A. Bertelli | Registered Nurse | Attn: Peter A. Bertelli, Rn, 70 Main Street, Taunton, MA 02780 | 2020-03-26 |
| 1790321388 | Daniel Bettencourt | Counselor | 1 Washington St. Taunton, Ma 02780, Taunton, MA 02780 | 2019-11-19 |
| 1629620067 | Lauren Mulkern | Behavior Technician | 36 Saints Way, Taunton, MA 02780 | 2019-07-16 |
| 1154891737 | Sara Keller | Physical Therapist | 68 Dean Street, Taunton, MA 02780 | 2018-11-27 |
| 1366931594 | Alicia Marie Donahue | Optometrist | 2005 Bay Street Suite 206, Taunton, MA 02780 | 2018-05-03 |
| 1922522879 | Kathryn Louise Drapeau | Registered Nurse | 17 Patriot Road, Taunton, MA 02780 | 2017-08-02 |
| 1174057913 | Marie Lorquet | Registered Nurse | 111 Bay St, Taunton, MA 02780 | 2017-04-19 |
| 1912351693 | Samantha Hollis | Social Worker | 126 Dighton Avenue, Taunton, MA 02780 | 2016-04-19 |
| 1689030843 | Alexandra Rhae Lynn | Counselor | 1 Washington St., Taunton, MA 02780 | 2016-01-04 |
| 1386058261 | Carmen Iris Rivera | Registered Nurse | 111 Worcester St, Taunton, MA 02780 | 2014-06-18 |
| Find all providers in zip 02780 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033620992 | Erica Barboza | Nurse Practitioner | 60 Hodges Ave, Taunton, MA 02780-3034 | 2017-10-18 |
| 1154578151 | Robyn M Hayes | Nurse Practitioner | 1 Washington St, Suite G, Taunton, MA 02780-3960 | 2008-08-20 |
| 1720189046 | Michelle Marie Duggan | Nurse Practitioner | 60 Hodges Avenue, Goss Building Department of Youth Services, Taunton, MA 02780 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
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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.