Provider Demographics
NPI:1134543077
Name:MANGANGA, MARGARET NJOKI
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:NJOKI
Last Name:MANGANGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:NJOKI
Other - Last Name:MANGANGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:25 NASSAU RD APT 4
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1629
Mailing Address - Country:US
Mailing Address - Phone:914-320-6615
Mailing Address - Fax:
Practice Address - Street 1:25 NASSAU RD APT 4
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1629
Practice Address - Country:US
Practice Address - Phone:914-320-6615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-12
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY569726-1163WM0705X
NY341799363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Multi-Specialty