Manish Tandon, MD,Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

115573 Issued in MA

Legal business name

MANISH TANDON, MD,ASSOCIATES PC

Practice address

300 Mount Auburn St
Suite 406
Cambridge, MA 02138-5600

Phone

(617) 562-0500

Fax

(617) 562-0600

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Manish Tandon, M.D., P.C.NPI 1417021437

Title

Doctor

Phone

(617) 562-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manish Tandon, MD

  • Gastroenterology Physician
  • Somerville, MA
  • NPI 1417021437
  Medicare reassignment NPD Authorized official
• Ziesl Maayan, FNP-C

  • Family Nurse Practitioner
  • Dedham, MA
  • NPI 1669890521
  Medicare reassignment NPD
• Jenni Calvi, FNP

  • Family Nurse Practitioner
  • Cambridge, MA
  • NPI 1306681366
  Medicare reassignment

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1487772083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "SUITE 406",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-562-0500",
            "fax_number": "617-562-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "SUITE 406",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-562-0500",
            "fax_number": "617-562-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISH TANDON, MD,ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "TANDON",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-562-0500",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "115573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186619",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Mancini, LMHC
• Kathryn Marie Mancuso, PHARM.D
• Patrick Mangialardi, DO
• Sophia Manglass
• Ernst Manigat, MD
• Milja Mankinen
• David Mann, M.D.
• Julie Mann, CNM
• Hope Manning
• Joshua Peter Manning, DPM

• Specialist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.