Individual provider Active NPI

Judith Bina Englard, MASTER

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1285057968
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3561228 Issued in NY
Practice address
1350 54TH St
3B
Brooklyn, NY 11219-4258
Phone
(347) 404-1457
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 3561228 NY
Specialist 174400000X 3561228 NY Primary

Addresses

Primary practice location

1350 54TH St
3B
Brooklyn, NY 11219-4258

Mailing address

1350 54TH St
3B
Brooklyn, NY 11219-4258
Phone (347) 404-1457

Other names 1

  • Ms. Judith Bina Mandelbaum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3561228NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1285057968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 54TH ST",
            "address_2": "3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194258",
            "telephone_number": "347-404-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 54TH ST",
            "address_2": "3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194258",
            "telephone_number": "347-404-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLARD",
        "first_name": "JUDITH",
        "middle_name": "BINA",
        "name_prefix": "Ms.",
        "credential": "MASTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "3561228",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "3561228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "MANDELBAUM",
            "middle_name": "BINA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.