Healthcare Provider Details

I. General information

NPI: 1295045177
Provider Name (Legal Business Name): MANGO STAFFING & BILLING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2010
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 WOOD AVE SOUTH SUITE 600
ISELIN NJ
08830
US

IV. Provider business mailing address

190 ROUTE 27 STE 301
EDISON NJ
08820-3538
US

V. Phone/Fax

Practice location:
  • Phone: 732-505-0080
  • Fax: 732-505-0083
Mailing address:
  • Phone: 732-505-0080
  • Fax: 732-505-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0132900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: PARTHIV BHATT
Title or Position: VICE PRESIDENT
Credential:
Phone: 848-448-7260