JOAN RUTH ESPERANZA MANGLICMOT M.D
NPI 1447606579
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since May 07, 2016PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVE, 3RD FLOOR MAIN BUILDING ROOM 3627, HACKENSACK, NJ 07601(551) 996-2331 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joan Ruth Esperanza Manglicmot M.d NPPES

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

JOAN RUTH ESPERANZA MANGLICMOT M.D (NPI 1447606579) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2016).

NPPES Registry Identity

NPI1447606579
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJOAN RUTH ESPERANZA MANGLICMOTCredential: M.D
Location Address30 PROSPECT AVE, 3RD FLOOR MAIN BUILDING ROOM 3627Hackensack, NJ 07601-1915
Mailing Address30 Prospect Ave, 3rd Floor Main Building Room 3627Hackensack, NJ 07601-1915 · (551) 996-2331
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2016
Enumeration DateMay 7, 2016
Last NPPES UpdateDecember 17, 2021
NPI 1447606579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
30 PROSPECT AVE, Hackensack, NJ 07601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joan Ruth Esperanza Manglicmot M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214349067
PECOS Enrollment IDI20201218002188
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.

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 Joan Ruth Manglicmot's NPI number?

The NPI number for Joan Ruth Manglicmot is 1447606579. It was assigned to this individual provider in the NPPES registry on May 7, 2016.

Where is Joan Ruth Manglicmot located?

Joan Ruth Manglicmot practices at 30 Prospect Ave 3rd Floor Main Building Room 3627, Hackensack, NJ 07601. The listed phone number is (551) 996-2331.

What is Joan Ruth Manglicmot's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joan Ruth Manglicmot enrolled in Medicare?

Yes. Joan Ruth Manglicmot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joan Ruth Manglicmot was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.