Active NPI
Alexander Mandel, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1417963364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024838
- Practice address
- 282 W End Ave
Brooklyn, NY 11235-4904 - Phone
- (347) 234-2551
- NPI assigned
- Jul 31, 2006
- Last updated
- Feb 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024838 | NY | Primary |
Addresses
Primary practice location
282 W End Ave
Brooklyn, NY 11235-4904
Mailing address
282 W End Ave
Brooklyn, NY 11235-4904
Phone (347) 234-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040519001257 | NY | Practitioner - Physical Therapist in Private Practice | 6901897958 | Practice locations: Far Rockaway, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
383 Beach 13TH St
Far Rockaway, NY 11691-5151
Phone (917) 345-5663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Medical Ny, PC | Past | Accepting new patients | |
| Health Care for All, NP in Adult Health, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Briarwood, NY
- NPI 1538473723
-
- Community Health Clinic/Center
- Briarwood, NY
- NPI 1801109491
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": "1203552000000",
"number": "1417963364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 W END AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354904",
"telephone_number": "347-234-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 W END AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354904",
"telephone_number": "347-234-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.