Individual provider Active NPI

Sidney Henry Mandelbaum, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1548379431
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
131138-1 Issued in NY
Practice address
178 E 71St St
New York, NY 10021-5119
Phone
(212) 650-0400
Fax
(212) 288-4223
NPI assigned
Aug 30, 2006
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 131138-1 NY Primary

Addresses

Primary practice location

178 E 71St St
New York, NY 10021-5119

Mailing address

178 E 71St St
New York, NY 10021-5119
Phone (212) 650-0400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000483 NY Practitioner - Ophthalmology 2163440066 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

178 E 71St St
New York, NY 10021-5131
Phone (212) 650-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as individual
Quality
96.64
Improvement activities
40
Cost
71.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131138NYMDSocial Worker
131138-1NYMDOphthalmology Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1548379431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215119",
            "telephone_number": "212-650-0400",
            "fax_number": "212-288-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215119",
            "telephone_number": "212-650-0400",
            "fax_number": "212-288-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBAUM",
        "first_name": "SIDNEY",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "131138-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.