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Deactivated NPI 1487601134 Deactivated / Inactive NPI Male Practitioner

Dr. Salvatore N Mangano , MD

Surgery • Waltham, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Salvatore Mangano has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 28, 2006
NPI Deactivation Date May 24, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Salvatore Mangano, MD was a registered Surgery practicing in Waltham, MA. Throughout an active medical career spanning 11 years, Dr. Mangano provided care at the practice location at 145 BLACK BEAR DR until profile deactivation on 2017-05-24.

Practice Location & Contact Primary Location

Practice Address

145 Black Bear Dr
Apt.# 2011

Waltham, MA 024510256

Telephone 7812091938

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Waltham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Waltham, MA (1077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 22042

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kendra Schroeder

Occupational Therapy Assistant

NPI 1740638709

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 24, 2017

Record deactivated on May 24, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 145 BLACK BEAR DR, APT.# 2011, WALTHAM, MA 024510256 (Tel: 7812091938)

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Updated Business Mailing Address July 08, 2007

Registered at 145 BLACK BEAR DR, UNIT 2011, WALTHAM, MA 024510256 (Tel: 7812091938)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SALVATORE MANGANO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #22042 in MA)

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Initial NPI Registration & Enumeration May 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487601134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2006
Last Update: July 08, 2007
Deactivation Date: May 24, 2017

Mailing Address

145 Black Bear Dr, Unit 2011

Waltham, MA 024510256

Phone: 7812091938

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.