Individual provider Active NPI

Vincent Mandato, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lansdale, PA
National Provider Identifier
1609967181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC003005L Issued in PA
Practice address
2031 N Broad St
Suite 107
Lansdale, PA 19446-1063
Phone
(215) 855-5854
Fax
(215) 855-0428
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC003005L PA Primary

Addresses

Primary practice location

2031 N Broad St
Suite 107
Lansdale, PA 19446-1063

Mailing address

2031 N Broad St
Suite 107
Lansdale, PA 19446-1063
Phone (215) 855-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000169 PA Practitioner - Podiatry 8527029214 Reassigns benefits to 1 organization
Practice locations: Hatfield, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

338 Fortuna Dr
Hatfield, PA 19440-3350
Phone (215) 896-4116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2484
Removal or shaving of skin growth125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Mandato CurrentSince Mar 5, 2023 Accepting new patients
Independence Foot and Ankle Associates LLC Foot & Ankle Surgery CurrentSince Nov 22, 2024 Accepting new patients
New Britain Podiatry Associates Foot & Ankle Surgery Past Accepting new patients

Locations

721 Arbor Way
Ste 103
Blue Bell, PA 19422
Phone (215) 257-6315

601 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-6315

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13327/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609967181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 N BROAD ST",
            "address_2": "SUITE 107",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461063",
            "telephone_number": "215-855-5854",
            "fax_number": "215-855-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 N BROAD ST",
            "address_2": "SUITE 107",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461063",
            "telephone_number": "215-855-5854",
            "fax_number": "215-855-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDATO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003005L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.