Active NPI
Aaron Mandel, OD
- Optometrist
- Brooklyn, NY
National Provider Identifier
1043281504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T0036581
- Practice address
- 200 Schermerhorn St
Brooklyn, NY 11201-5889 - Phone
- (718) 625-2137
- Fax
- (718) 596-2900
- NPI assigned
- Jan 31, 2006
- Last updated
- Jan 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T0036581 | NY | Primary |
Addresses
Primary practice location
200 Schermerhorn St
Brooklyn, NY 11201-5889
Mailing address
200 Schermerhorn St
Brooklyn, NY 11201-5889
Phone (718) 625-2137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00585162 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120207000292 | NY | Practitioner - Optometry | 9931222197 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0036581 | NY | MD | Optometrist |
| 3658 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Aaron Mandel | Optometrist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1043281504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SCHERMERHORN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015889",
"telephone_number": "718-625-2137",
"fax_number": "718-596-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SCHERMERHORN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015889",
"telephone_number": "718-625-2137",
"fax_number": "718-596-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T0036581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00585162",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.