Individual provider Active NPI

Menachem Mandell, M.D.

  • Diagnostic Radiology Physician
  • West Nyack, NY
National Provider Identifier
1285648543
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
162885 Issued in NY
Practice address
260 N Route 303
West Nyack, NY 10994-1608
Phone
(845) 353-0400
Fax
(845) 353-5563
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 162885 NY Primary

Addresses

Primary practice location

260 N Route 303
West Nyack, NY 10994-1608

Mailing address

260 N Route 303
West Nyack, NY 10994-1608
Phone (845) 353-0400

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
I20040628001020 NY Practitioner - Diagnostic Radiology 9830175009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

13527 38TH Ave
FL 2
Flushing, NY 11354-4449
Phone (718) 886-5068

1865 86TH St
Brooklyn, NY 11214-3108
Phone (718) 975-5462

1867 86TH St
FL 1
Brooklyn, NY 11214-3108
Phone (718) 872-7777

3808 Union St
Suite 3L
Flushing, NY 11354-5670
Phone (718) 939-8949

4235 Main St
Flushing, NY 11355-3969

835 61St St
Suite 101
Brooklyn, NY 11220-4312
Phone (718) 686-0895

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162885NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Nov 23, 2022 Accepting new patients
Gun Hill MRI PC Past Accepting new patients
New York Allergy & Sinus Group, PLLC PastSince Sep 5, 2011 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Montefiore Medical Center Diagnostic Radiology Past Accepting new patients
CHS Physician Partners, P.C PastSince Feb 1, 2015 Accepting new patients
Northeast Radiology PC Diagnostic Radiology Past Accepting new patients

Locations

835 61st St
Ste 101
Brooklyn, NY 11220
Phone (718) 686-0895

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830

2455 Hylan Blvd
Staten Island, NY 10306
Phone (718) 362-6886

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 7

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1285648543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 N ROUTE 303",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941608",
            "telephone_number": "845-353-0400",
            "fax_number": "845-353-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N ROUTE 303",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941608",
            "telephone_number": "845-353-0400",
            "fax_number": "845-353-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "MENACHEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "162885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.