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Nicole Mango

Specialist β€’ Plainview, NY

Active NPI 1477984250 Individual Practitioner Female Practitioner
Practice location in NPPES

255 Executive Dr
Plainview, NY 118031718

Call 5165762040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

255 Executive Dr

Plainview, NY 118031718

Telephone 5165762040
Organization at the Same NPPES Address or Phone
Mid Island Therapy Associates, Llc D/b/a All About Kids Facility NPI 1669513404

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Plainview and New York

195 active clinicians are listed under Specialist with a practice address in Plainview, NY (22,717 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Plainview

0% of these 195 clinicians have the CMS telehealth indicator.

1% of these 195 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES NY 884301

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Linda Cole

Speech-Language Pathologist

NPI 1417295874
Chelsea Gonsalves

Occupational Therapist

NPI 1811442148
Stephanie Levenberg , OTR, L

Occupational Therapist

NPI 1750985255

Occupational Therapist Registered, L

Erin Sullivan , OTR, L

Occupational Therapist - Pediatrics

NPI 1083206544

Occupational Therapist Registered, L

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 24, 2017

Registered at 255 EXECUTIVE DR, PLAINVIEW, NY 118031718 (Tel: 5165762040)

πŸ“
Updated Business Mailing Address August 24, 2017

Registered at 255 EXECUTIVE DR, PLAINVIEW, NY 118031718 (Tel: 5165762040)

πŸ‘€
Provider Name / Credentials Updated August 24, 2017

Recorded as NICOLE MANGO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Specialist (license number reported to NPPES: NY 884301)

βœ…
NPI Profile Active December 04, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 04, 2013

Registered at 255 EXECUTIVE DR, PLAINVIEW, NY 118031718 (Tel: 5165762040)

πŸ“
Business Mailing Address (Initial Record) December 04, 2013

Registered at 255 EXECUTIVE DR, PLAINVIEW, NY 118031718 (Tel: 5165762040)

πŸ‘€
Provider Name / Credentials (Initial Record) December 04, 2013

Recorded as NICOLE LEONE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2013

Specialist (license number reported to NPPES: NY 884301)

🟒
Initial NPI Registration & Enumeration December 04, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477984250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2013
Last Update: August 24, 2017
Sole Proprietor: No

Other Specialists in Plainview

All Specialists in Plainview

Mailing Address

255 Executive Dr

Plainview, NY 118031718

Phone: 5165762040

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.