Jordana Sage Mandel

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1002300 Issued in NY

Practice address

560 Northern Blvd
Suite207
Great Neck, NY 11021-5118

Phone

(516) 466-6165

NPI assigned

May 29, 2013

Last updated

May 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jordan Sage Mandel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Endocrine Associates of Nassau &Queens,P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Great Neck, NY
  • NPI 1518902915
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1164869384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE 207",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215118",
            "telephone_number": "516-466-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "address_2": "SUITE207",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215118",
            "telephone_number": "516-466-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "JORDANA",
        "middle_name": "SAGE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1002300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "MANDEL",
            "middle_name": "SAGE",
            "prefix": "MRS.",
            "credential": "RD,CDE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Theodora Malonoukos, PHARM.D.
• Chetan Malpe, M.D.
• Susan Maltser, DO
• Mini Susan Mammen
• Beena Mancheril, FNP - BC
• Julia Mandelblat, M.D.
• Gary P Mandell, PH.D.
• Tiana Manfred
• Manhasset Chiropractic PC
• Manhasset-Lakeville Fire District

• Registered Dietitian in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.