Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Ashley Manganiello

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629431994

Miss. Ashley Manganiello is an Internal Medicine in Wynnewood, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
10
Trained at
Jefferson Medical College of Thomas Jefferson University
In the registry since
2016

Practice location Address checks out

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone: (484) 476-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1629431994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2016
Last updated in NPPESJanuary 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wynnewood