Nirali Mandavawala, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

25611 Union Tpke
Glen Oaks, NY 11004-1251

Phone

(929) 292-7000

NPI assigned

Mar 24, 2025

Last updated

Jul 2, 2025By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1285435479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25611 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25611 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041251",
            "telephone_number": "929-292-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAVAWALA",
        "first_name": "NIRALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chitrani Makalanda, RN
• Tara Malekshahi, M.D.
• Anil K. Malhotra, MD
• Rida Malick, MD
• John P Maloy, MD
• Tara Mandel-Parrino, PH.D.
• Manish Sharma Dentistry P.C. (Glen Oaks Dentistry)
• Srinagesh Mannekote Thippaiah, M.D.
• Shukan Marfatia, PHARMD, RPH
• Yaron Markfeld, M.D.

• Student in an Organized Health Care Education/Training Program in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.