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RICARDO Y MABANTA MD
NPI 1730130840
Psychiatry & Neurology - Neurology in Marlton, NJ

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1001 ROUTE 73 N UPPR LEVEL A & MAIN LEVEL, MARLTON, NJ 08053(856) 988-4444(856) 988-0553 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, Sep 27, 2022, Apr 13, 2022 and 1 more (4 updates tracked since 2020).

About Ricardo Y Mabanta Md NPPES

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

RICARDO Y MABANTA MD (NPI 1730130840) is an individual neurology provider in Marlton, New Jersey, licensed in New Jersey (MA059597) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Sewell.

NPPES Registry Identity

NPI1730130840
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRICARDO Y MABANTACredential: MD
Location Address1001 ROUTE 73 N UPPR LEVEL A & MAIN LEVELMarlton, NJ 08053-4524
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(856) 988-4444
Fax(856) 988-0553
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 13, 2006
Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1730130840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · MA059597
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1001 ROUTE 73 N UPPR LEVEL A & MAIN LEVEL, Marlton, NJ 08053
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Secondary Practice Location 1

Location 1239 Hurffville Crosskeys Rd Ste 480ASewell, NJ 08080-4002 · Phone (856) 988-3444 · Fax (856) 988-0553

Other Identifiers 1

Medicaid6525105NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Ricardo Y Mabanta Md 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 ID5698795094
PECOS Enrollment IDI20051208000234
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,000 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
416 services320 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
319 services243 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
156 services156 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
114 services58 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
65 services65 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Ricardo Mabanta's NPI number?

The NPI number for Ricardo Mabanta is 1730130840. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Ricardo Mabanta located?

Ricardo Mabanta practices at 1001 Route 73 N Uppr Level A & Main Level, Marlton, NJ 08053. The listed phone number is (856) 988-4444.

What is Ricardo Mabanta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ricardo Mabanta enrolled in Medicare?

Yes. Ricardo Mabanta 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.

What insurance does Ricardo Mabanta accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ricardo Mabanta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ricardo Mabanta affiliated with any hospitals?

According to CMS data, Ricardo Mabanta is affiliated with Cooper University Hospital, West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Ricardo Mabanta was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.