DR. MELISSA MANGOLD (NPI# 1699939561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699939561 |
| Entity Type | Individual |
| Full Name | DR. MELISSA MANGOLD |
| Credential | DO |
| Practice Address |
3 Cooper Plz Suite 502 Camden NJ 08103-1438 |
| Practice Telephone | 8569687433 |
| Practice Fax Number | 8569688499 |
| Mailing Telephone | 8569687433 |
| Mailing Fax Number | 8569688499 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2014-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS015440 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194762914 | Melissa Cole Mangold | Internal Medicine | 803 Poplar St, Murray, KY 42071-2432 | 2006-06-01 |
| Street Address |
3 COOPER PLZ SUITE 502 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427241 | Christopher T Olivia | Ophthalmology | 3 Cooper Plz, Rm 510, Camden, NJ 08103-1438 | 2005-06-16 |
| 1932718897 | Yaritza Santana-orozco | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-27 |
| 1053929588 | Karl Leon Snyder | Counselor | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-21 |
| 1861000606 | Jordan Murphy | Community Health Worker | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-17 |
| 1740808823 | Alexandria Davenport | Physician Assistant | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-06 |
| 1457978629 | Osama M Sayed | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-02 |
| 1952948234 | Christy Lambert | Physical Therapist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-12-05 |
| 1598301368 | Yamna Azhar | Pharmacist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-11-26 |
| 1588215792 | Adisa Kljuco | Nurse Practitioner | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-09-28 |
| 1083272470 | Jasmine Marahar | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1407202492 | Tyler Mcmillan | Internal Medicine | 1 Cooper Plz # 222, Camden, NJ 08103-1461 | 2016-05-09 |
| 1093865115 | Camille Henry | Internal Medicine | 1865 Harrison Ave Ste 1300, Camden, NJ 08105 | 2007-01-11 |
| 1548321490 | Vincent Thomas Mc Dermott Jr. | Internal Medicine | 439 Clinton St, Camden, NJ 08103-3529 | 2006-12-13 |
| 1649346925 | Suetta Tenney | Internal Medicine | Genesis Health Care Winward Gardens Nursing Center, 105 Mechanic Street, Camden, ME 04843 | 2006-11-28 |
| 1144304536 | Simon Samaha | Internal Medicine | One Cooper Plaza /hospitalist Team, Camden, NJ 08103 | 2006-10-24 |
| 1801996772 | Elizabeth J Boogusch | Internal Medicine | 17 Rockbrook Dr, Camden, ME 04843-1616 | 2006-09-22 |
| 1992801237 | Meena Sharma | Internal Medicine | 1 Cooper Plaza, Camden, NJ 08103-1438 | 2006-09-15 |
| 1831203918 | Mill Street Medical Associates, LLP | Internal Medicine | 1113 Mill St, Camden, SC 29020-3763 | 2006-08-18 |
| 1790707511 | Steven Mills | Internal Medicine | Empire Medical, Camden, DE 19134 | 2006-07-24 |
| 1760400451 | Faith M Young | Internal Medicine | 2 Cooper Plz 400 Haddon Avenue, Suite 3200, Camden, NJ 08103-1461 | 2006-07-18 |
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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.