Organization Active NPI

Steven Mandel, MD PC

  • Neurology Physician
  • New York, NY
National Provider Identifier
1053683128
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1291531 Issued in NY
Legal business name
STEVEN MANDEL, MD PC
Practice address
1049 Park Ave
New York, NY 10028-1061
Phone
(212) 348-3009
Fax
(212) 369-0480
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Steven Mandel, MD
Title
Physician / Owner
Phone
(212) 348-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 1291531 NY Primary

Addresses

Primary practice location

1049 Park Ave
New York, NY 10028-1061

Mailing address

1049 Park Ave
New York, NY 10028-1061
Phone (212) 348-3009

National Provider Directory

National Provider Directory

Locations

12 E 86th St
Ofc 5
New York, NY 10028
Phone (212) 348-3009

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1053683128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281061",
            "telephone_number": "212-348-3009",
            "fax_number": "212-369-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281061",
            "telephone_number": "212-348-3009",
            "fax_number": "212-369-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN MANDEL, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "212-348-3009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "1291531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.