Mandell Cardiac Care Center PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MANDELL CARDIAC CARE CENTER PA

Practice address

15300 Jog Rd
Suite 202
Delray Beach, FL 33446-2162

Phone

(561) 455-5601

Fax

(561) 455-5602

NPI assigned

Jul 13, 2007

Last updated

Dec 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Brad Mandell, M.D.NPI 1245257724

Title

President and Secretary

Phone

(561) 455-5601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Brad Mandell, MD

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1245257724
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1003015660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 JOG RD",
            "address_2": "SUITE 202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-455-5601",
            "fax_number": "561-455-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 JOG RD",
            "address_2": "SUITE 202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-455-5601",
            "fax_number": "561-455-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDELL CARDIAC CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "MANDELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "561-455-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Malnik, LMHC
• Ashley Cabauatan Malupeng, PT
• Robert Savary Malyapa, M.D.
• Shannon Mammel
• Barbara Manburg, O.D.
• Kenneth Brad Mandell, MD
• John J Mandile
• Mangrove Therapy Group LLC (Mangrove Therapy Group)
• Ellis Ramirez Maniquis, PT
• John Jason Maniquiz

• Cardiovascular Disease Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.