Active NPI
Mandal Medical Care PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Hempstead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- MANDAL MEDICAL CARE PLLC
- Practice address
- 230 Hilton Ave Ste 106
Hempstead, NY 11550-8116 - Phone
- (516) 416-4060
- NPI assigned
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaushik Mandal, MD
- Title
- President
- Phone
- (917) 664-4158
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
230 Hilton Ave Ste 106
Hempstead, NY 11550-8116
Mailing address
14 Raymond St
Hicksville, NY 11801-4332
Phone (917) 664-4158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Skilled Nursing Facility
- Forest Hills, NY
- NPI 1194733642
O20210910000337
National Provider Directory
National Provider Directory- Tax ID family
- Fairview Nursing Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Forest Hills, NY
- NPI 1194733642
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Oceanside, NY
- NPI 1285024034
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647820800000",
"number": "1225601727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RAYMOND ST",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014332",
"telephone_number": "917-664-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HILTON AVE STE 106",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115508116",
"telephone_number": "516-416-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANDAL MEDICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A",
"authorized_official_last_name": "MANDAL",
"authorized_official_first_name": "KAUSHIK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-664-4158",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.