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MRS. MARLENE MANGOME PA
NPI 1184886889
Physician Assistant in Flushing, NY

Active since June 25, 2008PECOS Enrolled
5645 MAIN ST, OB/GYN DEPT., FLUSHING, NY 11355(718) 670-1517 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Marlene Mangome Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARLENE MANGOME PA (NPI 1184886889) is an individual physician assistant in Flushing, New York, licensed in New York (04055-1) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184886889
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARLENE MANGOMECredential: PA
Location Address5645 MAIN ST, OB/GYN DEPT.Flushing, NY 11355-5045
Mailing Address5645 Main St, Ob/gyn Dept.Flushing, NY 11355-5045 · (718) 670-1517
Phone(718) 670-1517
Sole ProprietorNo
Enumeration DateJune 25, 2008
Last NPPES UpdateDecember 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1184886889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 04055-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5645 MAIN ST, Flushing, NY 11355
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Other Names 1

Professional Name (2)Mrs. Marlene Mangome Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marlene Mangome Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlene Mangome's NPI number?

The NPI number for Marlene Mangome is 1184886889. It was assigned to this individual provider in the NPPES registry on June 25, 2008. The provider is also known as Mrs. Marlene Mangome PA.

Where is Marlene Mangome located?

Marlene Mangome practices at 5645 Main St Ob/Gyn Dept., Flushing, NY 11355. The listed phone number is (718) 670-1517.

What is Marlene Mangome's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marlene Mangome enrolled in Medicare?

Yes. Marlene Mangome is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marlene Mangome was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.