Active NPI
Christopher Michael Maendel, MD
- Family Medicine Physician
- Ulster Park, NY
National Provider Identifier
1447228002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 202940-1
- Practice address
- 1001 Broadway
Suite 223
Ulster Park, NY 12487-5209 - Phone
- (845) 339-6680
- NPI assigned
- Mar 9, 2006
- Last updated
- Feb 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD061934L | PA | |
| Family Medicine Physician | 207Q00000X | 202940-1 | NY | Primary |
Addresses
Primary practice location
1001 Broadway
Suite 223
Ulster Park, NY 12487-5209
Mailing address
120 Maple Ridge Drive
Ulster Park, NY 12487
Phone (845) 339-6680
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018500920003 | Medicaid | PA | |
| 120204 | Other | PA | UNISON PCP |
| 122177 | Other | PA | UNISON OB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Hellbrook LN
Ulster Park, NY 12487-5209
Phone (845) 658-7763
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202940-1 | NY | MD | Family Medicine Physician |
| MD061934L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esopus Medical, PC | Family Medicine | Current | Accepting new patients |
| Oak Valley Medical & Dental, PC | Family Medicine | Past | Accepting new patients |
Locations
10 Hellbrook Ln
Ulster Park, NY 12487
Phone (845) 339-6680
Interoperability endpoints
- christopher.maendel@931273876307972.direct.elationemr.com
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.
-
- Family Medicine Physician
- Rifton, NY
- NPI 1295701787
-
- Family Medicine Physician
- Farmington, PA
- NPI 1740267558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1447228002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MAPLE RIDGE DRIVE",
"city": "ULSTER PARK",
"state": "NY",
"postal_code": "12487",
"telephone_number": "845-339-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BROADWAY",
"address_2": "SUITE 223",
"city": "ULSTER PARK",
"state": "NY",
"postal_code": "124875209",
"telephone_number": "845-339-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAENDEL",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2023-02-24",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD061934L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "202940-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018500920003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON PCP",
"identifier": "120204",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON OB",
"identifier": "122177",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ulster Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.