MS. VADEWATTIE MANGRU NP
NPI 1467546317
Nurse Practitioner - Primary Care in Jamaica, NY

Q: What is Vadewattie Mangru's NPI number?

The NPI number for Vadewattie Mangru is 1467546317. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Vadewattie Mangru's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Vadewattie Mangru was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 03, 2006PECOS Enrolled

82-68 164TH ST, JAMAICA, NY 11432(718) 883-3225(718) 883-6193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Vadewattie Mangru Np NPPES

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

MS. VADEWATTIE MANGRU NP (NPI 1467546317) is an individual primary care provider in Jamaica, New York, licensed in New York (F331468) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467546317

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMS. VADEWATTIE MANGRUCredential: NP

Location Address82-68 164TH STJamaica, NY 11432-1121

Mailing Address79-01 Broadway, D1-01Elmhurst, NY 11373-1329 · (718) 334-1920 · Fax (718) 334-5958

Phone(718) 883-3225

Fax(718) 883-6193

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467546317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in NY · F331468

82-68 164TH ST, Jamaica, NY 11432

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Other Identifiers 3

Medicaid00246075NY

Medicare UPINS47827NY

Medicare ID-Type Unspecified00330231NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Vadewattie Mangru Np 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 11432 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

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

MS. ALIYAMMA SAMUEL NP

Nurse Practitioner (Adult Health)

82-68 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3225

DR. VERONICA JANE FISKE PH.D

Psychologist

82-68 164TH ST, AOPC QUEENS HOSPITAL CENTER
JAMAICA, NY 11432

Queens County (718) 883-2970

RITU DATTA OTR/L

Occupational Therapist

82-68 164TH ST, 5TH FLOOR
JAMAICA, NY 11432

Queens County (718) 883-3000

MR. LLOYD LYNFORD MYERS PA

Physician Assistant (Surgical)

82-68 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3225

LEAHA MACKENZIE ADAM M.D.

Student in an Organized Health Care Education/Training Program

82-68 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-4037

DR. PAUL JOON KIM MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

82-68 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3225

MS. MIRIAM RUTH LACHINA NP

Nurse Practitioner (Adult Health)

82-68 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3225

MS. PATRICIA PLOVER MCNULTY NP

Nurse Practitioner (Pediatrics)

82-68 164TH ST
JAMAICA, NY 11432

Queens County (718) 883-3225

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 Vadewattie Mangru's NPI number?

The NPI number for Vadewattie Mangru is 1467546317. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Vadewattie Mangru located?

Vadewattie Mangru practices at 82-68 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-3225.

What is Vadewattie Mangru's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Vadewattie Mangru enrolled in Medicare?

Yes. Vadewattie Mangru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vadewattie Mangru was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.