Individual provider Active NPI

Frank J. Mandarino, D.C.

  • Sports Physician Chiropractor
  • Staten Island, NY
National Provider Identifier
1639234255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
006608 Issued in NY
Practice address
1272 Richmond Rd
Staten Island, NY 10304-2304
Phone
(718) 667-2190
Fax
(718) 667-7279
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

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
Sports Physician Chiropractor 111NS0005X 006608 NY Primary

Addresses

Primary practice location

1272 Richmond Rd
Staten Island, NY 10304-2304

Mailing address

1272 Richmond Rd
Staten Island, NY 10304-2304
Phone (718) 667-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140910001276 NJ Practitioner - Chiropractic 0749463826 Reassigns benefits to 2 organizations
I20240104002392 NY Practitioner - Chiropractic 0749463826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Central Jersey Chiropractic PCGroup PAC ID 8820217672, 3 clinicians
New Jersey Sports Chiropractic and Physical TherapyGroup PAC ID 7810473758, 5 clinicians

Practice addresses (Care Compare)

436 Route 79
Suite 21
Morganville, NJ 07751-9783

436 Route 79
Suite 21
Morganville, NJ 07751-9797
Phone (732) 617-8000

436 State Route 79
Suite 21
Morganville, NJ 07751-9797
Phone (432) 617-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York Chiropractic Family Care PC CurrentSince Nov 1, 2023 Accepting new patients
Central Jersey Chiropractic, PC CurrentSince Feb 26, 2014 Accepting new patients
New Jersey Sports Chiropractic & Physical Therapy CurrentSince Oct 1, 2025 Accepting new patients
Bay Ridge Chiropractic, Professional Corporation CurrentSince Jan 1, 2021 Accepting new patients
Mandarino Chiropractic PC Sports Physician CurrentSince Oct 1, 2025 Accepting new patients
Nassau Chiropractic Care PC PastSince Feb 1, 2024 Accepting new patients
Queens Chiropractic Associates, PC PastSince Apr 26, 2011 Accepting new patients
Elite Physical Therapy & Sports Rehabilitation PastSince Apr 6, 2016 Accepting new patients

Locations

436 State Route 79
Ste 21
Morganville, NJ 07751
Phone (432) 617-8000

9705 3rd Ave
Brooklyn, NY 11209
Phone (718) 748-9624

2052 Richmond Rd
Staten Island, NY 10306
Phone (718) 351-6500

Organizations & group practices 8

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639234255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042304",
            "telephone_number": "718-667-2190",
            "fax_number": "718-667-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042304",
            "telephone_number": "718-667-2190",
            "fax_number": "718-667-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDARINO",
        "first_name": "FRANK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "006608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.