NPIMap

Organization Active NPI

NYU Mobile Health Van Program

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1346545951
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211468 Issued in NY
Legal business name
NYU MOBILE HEALTH VAN PROGRAM
Practice address
726 Broadway
10 TH Floor
New York, NY 10003-9502
Phone
(917) 696-5626
Fax
(212) 995-4243
NPI assigned
Jan 13, 2011
Organization subpart
Yes
Parent organization
NEW YORK UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. Soma Mandal, M.D.
Title
Medical Director
Phone
(212) 998-9420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 211468 NY Primary

Addresses

Primary practice location

726 Broadway
10 TH Floor
New York, NY 10003-9502

Mailing address

726 Broadway
10 TH Floor
New York, NY 10003-9502
Phone (917) 696-5626

National Provider Directory

National Provider Directory
Tax ID family
NYU Anesthesia Assoc104 organizations share this tax ID, including this one
Part of
NYU Anesthesia Assoc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

726 Broadway
Fl 10
New York, NY 10003
Phone (212) 998-5073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1346545951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 BROADWAY",
            "address_2": "10 TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039502",
            "telephone_number": "917-696-5626",
            "fax_number": "212-995-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 BROADWAY",
            "address_2": "10 TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039502",
            "telephone_number": "917-696-5626",
            "fax_number": "212-995-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU MOBILE HEALTH VAN PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "MANDAL",
        "authorized_official_first_name": "SOMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-998-9420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.