Individual provider Active NPI

Mandell J Much, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Aston, PA
National Provider Identifier
1376559278
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS002096L Issued in PA
Practice address
600 Red Hill Rd
Aston, PA 19014-1201
Phone
(610) 558-6447
Fax
(610) 558-6448
NPI assigned
Jul 31, 2006
Last updated
May 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS002096L PA Primary

Addresses

Primary practice location

600 Red Hill Rd
Aston, PA 19014-1201

Mailing address

600 Red Hill Rd
Aston, PA 19014-1201
Phone (610) 558-6447

Other identifiers 1

IdentifierTypeStateIssuer
23-1914684OtherPATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1376559278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RED HILL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141201",
            "telephone_number": "610-558-6447",
            "fax_number": "610-558-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RED HILL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141201",
            "telephone_number": "610-558-6447",
            "fax_number": "610-558-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCH",
        "first_name": "MANDELL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS002096L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "23-1914684",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.