West Orange Endocrinology, PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

WEST ORANGE ENDOCRINOLOGY, PA

Practice address

1510 Citrus Medical CT
Ocoee, FL 34761-4547

Phone

(407) 480-4830

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Mandry, MDNPI 1386674794

Title

President

Phone

(407) 616-6094

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73554

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose M Mandry, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Ocoee, FL
  • NPI 1386674794
  Medicare reassignment NPD Authorized official
• Maria Del Carmen Freire, PA

  • Physician Assistant
  • Ocoee, FL
  • NPI 1700392172
  Medicare reassignment
• Mary Kathleen Mandry, RD, LD/N

  • Registered Dietitian
  • Ocoee, FL
  • NPI 1689188385
  NPD
• Lucy Duque Roberts, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
  • NPI 1275642043
  NPD
• Vince Patel, MD

  • Research Study Specialist
  • Eden Prairie, MN
  • NPI 1881365328
  NPD

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1225688237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 BIRCH TREE LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868021",
            "telephone_number": "407-616-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CITRUS MEDICAL CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614547",
            "telephone_number": "407-480-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE ENDOCRINOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "MANDRY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-616-6094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207RE010X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.myhealthrecord.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1510 Citrus Medical Ct",
            "city": "Ocoee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347614547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas H Wentzell, MD
• Rebecca Jean Wessinger, MD
• West Coast Dental Partners
• West Orange Chiropractic Wellness Center
• West Orange Dental Group
• West Orange Healthcare District (Dieguez & Oloufa ObGyn Of Health Central)
• West Orange Healthcare District (Health Central)
• West Orange Healthcare District (Health Central Paramedics)
• West Orange Healthcare District (Health Central)
• West Orange Healthcare District (Expresscare)

• Endocrinology, Diabetes & Metabolism Physician in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.

Verify at the official NPI Registry.