Mark S Mandel, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA05315700 Issued in NJ

Practice address

135 Chestnut Ridge Rd
Suite 1120
Montvale, NJ 07645

Phone

(201) 391-2020

Fax

(201) 391-0265

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• BCD Health Partners

  • Pediatrics Physician
  • Woodland Park, NJ
  • NPI 1225317704
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1194764498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CHESTNUT RIDGE ROAD",
            "address_2": "SUITE 1120",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "07645",
            "telephone_number": "201-391-2020",
            "fax_number": "201-391-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CHESTNUT RIDGE RD",
            "address_2": "SUITE 1120",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "07645",
            "telephone_number": "201-391-2020",
            "fax_number": "201-391-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05315700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne M Lovece
• Nery R Lucero, PHARMACIST
• Dmitri N Luke, DPM
• Travis Mach
• John Maggio Jr., MA, LCADC, LAC
• Rosita Kamille Manohar, AGNP
• Cheryl M Marcus-Podhaizer, DDS
• Richard A. Marini, R.PH.
• Mark Sherman MD PA
• Katrina Elizabeth Martinez

• Pediatrics Physician in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.