Individual provider Active NPI

Joseph Mandelbaum, CCC-A, CNIM

  • Specialist
  • Teaneck, NJ
National Provider Identifier
1467510149
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1164 Issued in NY
Practice address
1086 Teaneck Rd Ste 4a
Teaneck, NJ 07666-4858
Phone
(201) 862-9900
Fax
(201) 862-9136
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1164 NY Primary
Audiologist 231H00000X 001996-1 NY
Audiologist 231H00000X 41YA00068300 NJ
Audiologist-Hearing Aid Fitter 237600000X MG0001063 NY

Addresses

Primary practice location

1086 Teaneck Rd Ste 4a
Teaneck, NJ 07666-4858

Mailing address

1086 Teaneck Rd Ste 4a
Teaneck, NJ 07666-4858
Phone (201) 862-9900

Other names 1

  • Yossi Mandelbaum Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1164NYMDSpecialist
001996-1NYMDOccupational Therapy Assistant
41YA00068300NJMDAudiologist
MG0001063NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467510149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD STE 4A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664858",
            "telephone_number": "201-862-9900",
            "fax_number": "201-862-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD STE 4A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664858",
            "telephone_number": "201-862-9900",
            "fax_number": "201-862-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBAUM",
        "first_name": "JOSEPH",
        "credential": "CCC-A, CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1164",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001996-1",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00068300",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "MG0001063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOSSI",
            "last_name": "MANDELBAUM",
            "credential": "CCC-A, CNIM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.