Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184886889 Individual Practitioner Female Practitioner

Marlene Mangome , PA

Physician Assistant • Flushing, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Marlene Mangome, PA is a registered healthcare professional specializing in Physician Assistant in Flushing, NY. Official NPI practice address is registered at 5645 MAIN ST.

Practice Location & Contact Primary Location

Practice Address

5645 Main St
Ob/gyn Dept.

Flushing, NY 113555045

Telephone 7186701517
Associated Practice Facility / Clinic
🏢 Booth Medical Associates Pc Facility NPI 1912996703

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
282 Specialists

Practicing in Flushing, NY (15701 Statewide)

Telehealth Adoption Rate
3.5% 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

CMS Verified: 2022-12-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 04055-1

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Gary Eglinton , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1104864446

Doctor of Medicine (M.D.)

Nicole Balazs , PA

Physician Assistant

NPI 1326120148

Physician Assistant

Susana Gomilla , PA

Physician Assistant

NPI 1487819439

Physician Assistant

Esther Sue , PA

Physician Assistant

NPI 1558524637

Physician Assistant

Karen Chan , RPA-C

Physician Assistant

NPI 1740562305

RPAC

Kristen Smith , PA

Physician Assistant

NPI 1861654568

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2008

Registered at 5645 MAIN ST, OB/GYN DEPT., FLUSHING, NY 113555045 (Tel: 7186701517)

📍
Updated Business Mailing Address June 25, 2008

Registered at 5645 MAIN ST, OB/GYN DEPT., FLUSHING, NY 113555045 (Tel: 7186701517)

👤
Provider Name / Credentials Updated June 25, 2008

Recorded as MARLENE MANGOME, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2008

Physician Assistant (License #04055-1 in NY)

🟢
Initial NPI Registration & Enumeration June 25, 2008

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: 1184886889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2008
Last Update: December 22, 2022
Sole Proprietor: No

Mailing Address

5645 Main St, Ob/gyn Dept.

Flushing, NY 113555045

Phone: 7186701517

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.