EVA DONNA MANGLICMOT BANAG APN
NPI 1457865529
Nurse Practitioner - Acute Care in Neptune, NJ

Q: What is Eva Donna Banag's NPI number?

The NPI number for Eva Donna Banag is 1457865529. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Q: What is Eva Donna Banag's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Eva Donna Banag was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since November 27, 2017PECOS Enrolled

1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 775-5500 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 20, 2025, Nov 27, 2017 (2 updates tracked since 2017).

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About Eva Donna Manglicmot Banag Apn NPPES

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

EVA DONNA MANGLICMOT BANAG APN (NPI 1457865529) is an individual acute care provider in Neptune, New Jersey, licensed in New Jersey (26NJ00780700) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457865529

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameEVA DONNA MANGLICMOT BANAGCredential: APN

Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4859

Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688

Phone(732) 775-5500

Sole ProprietorNo

Enumeration DateNovember 27, 2017

Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1457865529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NJ · 26NJ00780700

1945 STATE ROUTE 33, Neptune, NJ 07753

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eva Donna Manglicmot Banag Apn 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 07753 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

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.

MAULIK D SHAH DO

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