Individual provider Active NPI

Chaim Y. Mandelbaum, M.D.

  • Public Health & General Preventive Medicine Physician
  • New York, NY
National Provider Identifier
1215075908
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
193523 Issued in NY
Practice address
75 Maiden LN
Suite 1206
New York, NY 10038-4810
Phone
(212) 995-6495
Fax
(212) 844-6772
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 193523 NY
Addiction Medicine (Anesthesiology) Physician 207LA0401X 193523 NY
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X 193523 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 193523 NY
Pain Medicine Physician 208VP0000X 193523 NY
Interventional Pain Medicine Physician 208VP0014X 193523 NY
Public Health & General Preventive Medicine Physician 2083P0901X 193523 NY Primary

Addresses

Primary practice location

75 Maiden LN
Suite 1206
New York, NY 10038-4810

Mailing address

75 Maiden LN
Suite 1206
New York, NY 10038-4810
Phone (646) 602-8030

Other identifiers 10

IdentifierTypeStateIssuer
P00219281OtherNYMEDICARE RAILROAD
02338136MedicaidNY
175327OtherNYELDERPLAN
CM032P6130OtherNYEMPIRE BCBS-MANHATTAN
N82711OtherNYHEALTHNET
P2676389OtherNYOXFORD HEALTH PLANS
2889995OtherNYCIGNA
CM03N02910OtherNYEMPIRE BCBS-BROOKLYN
5303223OtherNYGROUP HEALTH INCORPORATED
7589421OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080429000068 NY Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3072543024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
State University of New York Downstate Medical Center, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Comprehensive Pain Management and Spine Care PLLCGroup PAC ID 0941539183, 2 clinicians

Practice addresses (Care Compare)

75 Maiden LN
RM 1206
New York, NY 10038-5162
Phone (212) 995-6495

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as individual
Quality
55.05
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
193523NYMDHospice and Palliative Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management and Spine Care, PLLC Pain Medicine CurrentSince Jul 20, 2019 Accepting new patients
Bimc Faculty Practice PastSince Mar 1, 2001 Accepting new patients
King Manor Rehab, LLC PastSince Jul 1, 2014 Accepting new patients
New Jersey Anesthesia Group, P.a. Pain Medicine Past Accepting new patients

Locations

75 Maiden Ln
Rm 1206
New York, NY 10038
Phone (212) 995-6495

Organizations & group practices 4

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1215075908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN",
            "address_2": "SUITE 1206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384810",
            "telephone_number": "646-602-8030",
            "fax_number": "646-602-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LN",
            "address_2": "SUITE 1206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384810",
            "telephone_number": "212-995-6495",
            "fax_number": "212-844-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBAUM",
        "first_name": "CHAIM",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "193523",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NY",
            "license": "193523",
            "primary": false
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "193523",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "193523",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "193523",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "193523",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "193523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00219281",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02338136",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "175327",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS-MANHATTAN",
            "identifier": "CM032P6130",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "N82711",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P2676389",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2889995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS-BROOKLYN",
            "identifier": "CM03N02910",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORATED",
            "identifier": "5303223",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7589421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.