Individual provider Active NPI

Aaron Mandel, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1043281504
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T0036581 Issued in NY
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00585162MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000292 NY Practitioner - Optometry 9931222197 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T0036581NYMDOptometrist
3658NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Aaron Mandel Optometrist CurrentSince Dec 15, 2003 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

Verify at the official NPI Registry.