MR. MICHAEL WILLIAM MANGINO JR. (NPI# 1760815252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760815252 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WILLIAM MANGINO JR. |
| Credential | NP-P |
| Practice Address |
533 College Rd Riverhead Building Selden NY 11784-2851 |
| Practice Telephone | 6314732453 |
| Mailing Telephone | 6314732453 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
400716 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609156777 | Michael Joseph Mangino | Dentist | 408 S 28th St, Suite A, Paducah, KY 42003-3808 | 2011-08-22 |
| 1821201526 | Michael Paul Mangino | Pharmacist | Route 6 & Stoneleigh Ave, Carmel, NY 10512 | 2007-05-08 |
| 1841592938 | Michael Mangino | Orthotist | 616 E Jericho Tpke, Huntington Station, NY 11746-7317 | 2010-11-23 |
| Street Address |
533 COLLEGE RD RIVERHEAD BUILDING |
| City | SELDEN |
| State | NY |
| Zip Code | 11784-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104250299 | Jennifer Lynn Bollmann | Licensed Practical Nurse | 533 College Rd, Selden, NY 11784-2851 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700113 | Taylor Mones | Occupational Therapist | 38 Sandy Lane, Selden, NY 11784 | 2018-08-18 |
| 1467942912 | Lisa Lucchese | Registered Nurse | 40 Kensington Avenue, Selden, NY 11784 | 2018-05-10 |
| 1194246629 | Jessica Ann Cutrone | Specialist | 13 Berkeley Ave, Selden, NY 11784 | 2017-07-06 |
| 1811429780 | Jennifer Kinsella | Registered Nurse | 553 College Road, Selden, NY 11784 | 2017-03-30 |
| 1932647781 | Kathleen A Reilly | Behavior Technician | 25 Buckskin Lane, Selden, NY 11784 | 2017-02-01 |
| 1942758933 | Claire Moore | Physician Assistant | 239 Boyle Rd Ste 7, Selden, NY 11784 | 2016-09-19 |
| 1104206051 | Anna Satalino | Psychologist | 163 South Evergreen Dr, Selden, NY 11784 | 2015-06-05 |
| 1275963597 | Rosalyn Grasparil | Physical Therapist | 260 Middle Country Rd Bldg 3 Suite 9-a, Selden, NY 11784 | 2013-11-22 |
| 1295002772 | Christian Leparto | Registered Nurse | 12 Elm Ct, Selden, NY 11784 | 2011-11-28 |
| 1275800260 | Maryse Leveque | Registered Nurse | 4 Richard Road, Selden, NY 11784 | 2011-11-19 |
| Find all providers in zip 11784 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033573068 | Vivian Nwuba | Nurse Practitioner | 29 Adamson St, Selden, NY 11784-4403 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. MICHAEL WILLIAM MANGINO JR..
| 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.