Jesse Mangone
General Practice in Clifton, New Jersey
1598777112- Practice location
- 1117 US Highway 46, Suite 202, Clifton, NJ 07013-2449
- Phone
- 973-614-8484
- Fax
- —
- Last updated
- November 21, 2007
Jesse Mangone is a General Practice based in Clifton, NJ. Jesse Mangone practices in Clifton, NJ. The NPI Number for Jesse Mangone is 1598777112 and holds a License No. 25MB03219800 (NJ). The current practice location address for Jesse Mangone is 1117 US Highway 46, Suite 202, Clifton, NJ 07013-2449 and can be reached out via phone at 973-614-8484.
Provider Profile Details
- NPI Number
- 1598777112
- Provider Name
- Jesse Mangone
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1117 US Highway 46, Suite 202, Clifton, NJ 07013-2449
- Phone Number
- 973-614-8484
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 12, 2006
- Last Update Date
- November 21, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1117 US Highway 46
Suite 202
Clifton, NJ 07013-2449 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-2449
- Phone Number
- 973-614-8484
Provider Business Mailing Address Details
- Address
- Po Box 7306
East Rutherford, NJ 07073-7306 - City
- East Rutherford
- State
- NJ
- Zip
- 07073-7306
- Phone Number
- 973-614-8484
License Information
- License Number
- 25MB03219800
- License State
- NJ
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jesse Mangone?
The NPI number of Jesse Mangone is 1598777112. It was assigned on August 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Jesse Mangone?
Jesse Mangone is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 25MB03219800.
Where does Jesse Mangone practice?
The practice location is 1117 US Highway 46, Suite 202, Clifton, NJ 07013-2449. The office can be reached at 973-614-8484 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598777112 directly on the NPPES registry website.