Active NPI
Eric M Mandel
- Speech-Language Pathologist
- Greensboro, NC
National Provider Identifier
1114540135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2500 N Church St
Greensboro, NC 27405-4314 - Phone
- (336) 375-2240
- NPI assigned
- May 26, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2500 N Church St
Greensboro, NC 27405-4314
Mailing address
2500 N Church St
Greensboro, NC 27405-4314
Phone (336) 375-2240
Other practice location 1
2900 Delaware Ave
Kenmore, NY 14217-2309
Phone (716) 871-9915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1114540135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N CHURCH ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274054314",
"telephone_number": "336-375-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N CHURCH ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274054314",
"telephone_number": "336-375-2240"
}
],
"practiceLocations": [
{
"address_1": "2900 Delaware Ave",
"address_purpose": "LOCATION",
"city": "Kenmore",
"state": "NY",
"postal_code": "142172309",
"country_code": "US",
"telephone_number": "716-871-9915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDEL",
"first_name": "ERIC",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.