OrganizationActive
Innovative Medical Partners
NPI 1215683842 · Hospice and Palliative Medicine (Internal Medicine) Physician · Ridgewood, NJ
Provider details
- NPI number
- 1215683842
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Mangone, Owner(215) 817-1799
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 Upper Blvd
Ridgewood, NJ 07450-1124
Phone: (215) 817-1799
Street-level locationGet directions
Mailing address
30 N Franklin Tpke
Hohokus, NJ 07423-9998
Registry dates
- Enumerated
- 2022-02-22
- Last updated
- 2022-02-22
- Certified
- 2022-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.