1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MATTHEW MANGANIELLO MD
NPI 1528915485
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 11, 2026
5401 OLD YORK RD STE 363, PHILADELPHIA, PA 19141(215) 456-8520 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2026, May 16, 2026, Mar 25, 2026 and 1 more (4 updates tracked since 2026).

About Matthew Manganiello Md NPPES

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

MATTHEW MANGANIELLO MD (NPI 1528915485) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT237103) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1528915485
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW MANGANIELLOCredential: MD
Location Address5401 OLD YORK RD STE 363Philadelphia, PA 19141-3045
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098 · (215) 456-8220 · Fax (215) 456-8520
Phone(215) 456-8520
Sole ProprietorNo
Enumeration DateMarch 11, 2026
Last NPPES UpdateMay 21, 20264 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1528915485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MT237103
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.
5401 OLD YORK RD STE 363, Philadelphia, PA 19141
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

YANG YANG
Internal Medicine
5401 OLD YORK RD STE 363
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8520
ESTEBAN JESUS KOSAK LOPEZ MD
Student in an Organized Health Care Education/Training Program
5401 OLD YORK RD STE 363
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8520
DR. RAJ MADHANI DO
Internal Medicine
5401 OLD YORK RD STE 363
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8520

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 Matthew Manganiello's NPI number?

The NPI number for Matthew Manganiello is 1528915485. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is Matthew Manganiello located?

Matthew Manganiello practices at 5401 Old York Rd Ste 363, Philadelphia, PA 19141. The listed phone number is (215) 456-8520.

What is Matthew Manganiello's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Manganiello was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.