Individual provider Active NPI

Lindsey Lee Mandrayar, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1356878003
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027546 Issued in NY
Practice address
156 W 56TH St Ste 1000D
New York, NY 10019-3936
Phone
(646) 586-9908
NPI assigned
May 12, 2017
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027546 NY Primary
Physician Assistant 363A00000X PA61437325 WA
Physician Assistant 363A00000X 0010-12896 NC
Physician Assistant 363A00000X 4794 SC
Physician Assistant 363A00000X 11634 GA
Physician Assistant 363A00000X PA16305 TX
Physician Assistant 363A00000X 0110005785 VA
Physician Assistant 363A00000X PA.0007805 CO
Physician Assistant 363A00000X 110005785 VA
Physician Assistant 363A00000X 9080 AZ
Nurse Practitioner 363L00000X PA2743 NV

Addresses

Primary practice location

156 W 56TH St Ste 1000D
New York, NY 10019-3936

Mailing address

156 W 56TH St Ste 1000D
New York, NY 10019-3936
Phone (646) 586-9908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ, NV, TX, NC, WA, CO, GA, IA9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20220309001182 NY Practitioner - Physician Assistant 0042572604 Reassigns benefits to 1 organization
I20230119001102 AZ Practitioner - Physician Assistant 0042572604 Reassigns benefits to 1 organization
I20230123002279 NV Practitioner - Physician Assistant 0042572604
I20230125001397 TX Practitioner - Physician Assistant 0042572604 Reassigns benefits to 1 organization
I20230126001197 NC Practitioner - Physician Assistant 0042572604 Reassigns benefits to 2 organizations
I20240118003730 WA Practitioner - Physician Assistant 0042572604 Reassigns benefits to 2 organizations
I20240119000361 CO Practitioner - Physician Assistant 0042572604 Reassigns benefits to 2 organizations
I20240612004106 GA Practitioner - Physician Assistant 0042572604 Reassigns benefits to 2 organizations
I20260515003192 IA Practitioner - Physician Assistant 0042572604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians
Iora Health Colorado, P.C.Group PAC ID 8426323114, 42 clinicians
Iora Health Texas, PLLCGroup PAC ID 2668702465, 22 clinicians
One Medical, P.C.Group PAC ID 3375872369, 11 clinicians
Iora Health Georgia PCGroup PAC ID 1850644394, 27 clinicians

Practice addresses (Care Compare)

10001 W Bell Rd
Suite 105
Sun City, AZ 85351-1283
Phone (888) 405-6396

1080 S Sable Blvd
Unit 18
Aurora, CO 80012-3796
Phone (303) 552-9577

12266 Farm to Market 1960 Rd W
Houston, TX 77065-5073
Phone (281) 720-8998

1414 S 324TH St
Suite B207
Federal Way, WA 98003-8444
Phone (253) 220-3121

15214 Aurora Ave N
Shoreline, WA 98133-6143
Phone (206) 518-9021

1692 Wadsworth Blvd
Lakewood, CO 80214-5233
Phone (303) 557-9747

17014 W Bell Rd
Suite 100
Surprise, AZ 85374-2479
Phone (888) 405-6396

274 Eastchester Dr
Suite 120
High Point, NC 27262-7721
Phone (336) 542-2992

3137 W Indian School Rd
Phoenix, AZ 85017-4069
Phone (888) 405-6396

3527 Memorial Dr
Unit W
Decatur, GA 30032-2731
Phone (404) 573-4844

3705 S Meridian
Suite B
Puyallup, WA 98373-3709
Phone (253) 765-5050

3895 Cherokee St NW
Suite 400
Kennesaw, GA 30144-6732
Phone (678) 369-7755

3902 E Grant Rd
Tucson, AZ 85712-2558
Phone (888) 405-6396

4014 Connection Point Blvd
Suite C
Charlotte, NC 28212-0332
Phone (704) 343-8282

4100 E Mississippi Ave
Suite 110
Glendale, CO 80246-3051
Phone (303) 552-9522

4319 W Bell Rd
Glendale, AZ 85308-3530
Phone (888) 405-6396

4414 N Fwy
Suite 300
Houston, TX 77022-3657
Phone (713) 589-8643

4424 Hugh Howell Rd
Suite D
Tucker, GA 30084-4905
Phone (404) 692-4466

4850 Sugarloaf Pkwy
Suite 101
Lawrenceville, GA 30044-2860
Phone (678) 490-8300

4960 S Alma School Rd
Suite 18
Chandler, AZ 85248-5573
Phone (888) 405-6396

64 Rainier Ave S
Suite I
Renton, WA 98057-2047
Phone (425) 224-2144

8175 Sheridan Blvd
Unit N
Arvada, CO 80003-1928
Phone (303) 557-0855

8332 Pineville Matthews Rd
Suite 205
Charlotte, NC 28226-3765
Phone (704) 414-2244

9440A Hwy 6 S
Houston, TX 77083-6307
Phone (281) 408-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4794SCMDOccupational Therapist
PA.0007805COMDPhysician Assistant
027546NYMDPhysician Assistant
110005785VAMDPhysician Assistant
PA2743NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Washington Physicians, P.C. CurrentSince Dec 6, 2023 Accepting new patients
Iora Health Colorado, P.C. CurrentSince Feb 8, 2023 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Dec 6, 2023 Accepting new patients
Iora Health Colorado, P.C. CurrentSince Feb 8, 2023 Accepting new patients
Iora Health Georgia, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Iora Health Georgia, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Iora Senior Health, LLC CurrentSince Nov 25, 2024 Accepting new patients
Iora Senior Health, LLC CurrentSince Sep 26, 2024 Accepting new patients
Iora Senior Health, LLC CurrentSince Jun 26, 2023 Accepting new patients
Iora Senior Health, LLC CurrentSince Dec 6, 2023 Accepting new patients
Iora Senior Health, LLC CurrentSince Jun 26, 2023 Accepting new patients
Iora Health Texas, PLLC CurrentSince Nov 13, 2023 Accepting new patients
One Medical, P.C. CurrentSince Jun 10, 2023 Accepting new patients
Hopscotch Primary Care Group, PA Past Accepting new patients
Howard John Simon MD PC Past Accepting new patients

Locations

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

1080 S Sable Blvd
Unit 18
Aurora, CO 80012
Phone (303) 552-9577

3527 Memorial Dr
Unit W
Decatur, GA 30032
Phone (404) 573-4844

274 Eastchester Dr
Ste 120
High Point, NC 27262
Phone (336) 542-2992

4414 North Fwy
Ste 300
Houston, TX 77022
Phone (713) 589-8643

9440A Highway 6 S
Houston, TX 77083
Phone (281) 408-4488

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

Networks

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

Interoperability endpoints

  • Direct secure messaging: lindsey.mandrayar.13@29601.direct.athenahealth.com

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1356878003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST STE 1000D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193936",
            "telephone_number": "646-586-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST STE 1000D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193936",
            "telephone_number": "646-586-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDRAYAR",
        "first_name": "LINDSEY",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027546",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61437325",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12896",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4794",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11634",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16305",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005785",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007805",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "110005785",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9080",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "PA2743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.