Individual provider Active NPI

David Mandil, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1093179285
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006886 Issued in NY
Practice address
1797 Pitkin Ave
Brooklyn, NY 11212-7839
Phone
(718) 367-2555
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006886 NY Primary

Addresses

Primary practice location

1797 Pitkin Ave
Brooklyn, NY 11212-7839

Mailing address

1517 E 5TH St # 2
Brooklyn, NY 11230-6339
Phone (917) 319-2581

Other identifiers 1

IdentifierTypeStateIssuer
1093179285OtherNYINDIVIDUAL NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200729002230 NY Practitioner - Podiatry 0042555427 Reassigns benefits to 3 organizations
I20211020001965 NJ Practitioner - Podiatry 0042555427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions23
Removal of nail tissue109
Removal or shaving of skin growth17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006886NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
FJ Orthopaedics and Pain Management PLLC CurrentSince May 1, 2020 Accepting new patients
David Mandil DPM PLLC CurrentSince Jan 1, 2025 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Dec 16, 2023 Accepting new patients
Jonathan Lewin MD PC CurrentSince Aug 15, 2021 Accepting new patients
Vantage Medical Associates PC Past Accepting new patients
Doral Pharmacy LLC PastSince Dec 16, 2023 Accepting new patients
PPG Anesthesia, PLLC Past Accepting new patients

Locations

177 N Dean St
Ste 301
Englewood, NJ 07631
Phone (201) 510-3777

177 N Dean St
Englewood, NJ 07631
Phone (201) 510-3777

5002 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 971-1944

331 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 971-1944

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

5002 Flatlands Ave
Ste C
Brooklyn, NY 11234
Phone (347) 286-0741

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

331 Knickerbocker Ave
Ste A
Brooklyn, NY 11237
Phone (347) 286-0741

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

391 Eastern Pkwy
Brooklyn, NY 11216
Phone (718) 613-1600

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: dmandil70430@northwell.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1093179285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 E 5TH ST # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306339",
            "telephone_number": "917-319-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127839",
            "telephone_number": "718-367-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDIL",
        "first_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1093179285",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.