JOAN RUTH ESPERANZA MANGLICMOT M.D
NPI 1447606579
Student in an Organized Health Care Education/Training Program in Hackensack, NJ
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Joan Ruth Manglicmot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Joan Ruth Manglicmot's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joan Ruth Manglicmot reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joan Ruth Manglicmot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Joan Ruth Esperanza Manglicmot, M.D · NPI 1447606579
Student in an Organized Health Care Education/Training Program provider in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since May 7, 2016.
## Identity
- **NPI:** 1447606579 (Entity type: Individual)
- **Enumerated:** May 7, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, 3RD FLOOR MAIN BUILDING ROOM 3627, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-2331
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447606579) · Data from the CMS NPPES public registry.