Marc Mandel MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA48956 Issued in NJ

Legal business name

MARC MANDEL MD PC

Practice address

1030 Saint Georges Ave
Suite 201
Avenel, NJ 07001-1390

Phone

(732) 855-7989

Fax

(732) 855-7801

NPI assigned

Mar 13, 2007

Last updated

Jun 9, 2008By 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. Marc Steven Mandel, MD

Title

Proprietor

Phone

(732) 855-7989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1285767012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "address_2": "CO ADVANTAGE MEDICAL BILLING INC",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070912876",
            "telephone_number": "908-654-6670",
            "fax_number": "908-789-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "SUITE 201",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-855-7989",
            "fax_number": "732-855-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC MANDEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "732-855-7989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA48956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Avenel, NJ
• Providers in Avenel, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.