Michelle Mandelbaum

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1083 Issued in NY

Practice address

155 White Rd
Jackson, NJ 08527-5012

Phone

(718) 208-5814

NPI assigned

Nov 7, 2012

Last updated

Jul 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Mandelbaum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1467706861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WHITE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WHITE RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275012",
            "telephone_number": "718-208-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBAUM",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MANDELBAUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Mamrega
• Mana Health Partners NJ PC
• Manalapan Eye Associates LLC (The Eye Center at Jackson)
• Devora Mandel
• Gitty Mandel, BCBA
• Rosemarie Manfredi, PSY.D.
• Benoit Mapa, D.O.
• Aleeza Marcus, OTR/L
• Marcy Freedman LLC
• Cipriano Fabian Mariano, D.C.

• Speech-Language Pathologist in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.