Justin Mandel, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3562 Issued in FL

Practice address

1105 7TH Ave N
St Petersburg, FL 33705-1309

Phone

(727) 606-8700

NPI assigned

Feb 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elite Care Acupuncture, PLLC

  • Clinic/Center
  • St Petersburg, FL
  • NPI 1316758402
  NPD Authorized official
• Blue Meridian Acupuncture & Wellness

  • Acupuncturist
  • Pensacola, FL
  • NPI 1467071274
  NPD (past)

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1689914160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051309",
            "telephone_number": "727-606-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051309",
            "telephone_number": "727-606-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "JUSTIN",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002379-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Nicholas Maltese, MD, MPH
• Joseph Matthew Maltese, D.C.
• Sara Alexandra Maltese, D.M.D
• Maltezos Wellness Psychiatry LLC
• Lily Maltezos, PMHNP
• Steven Mark Mandel, M.D.
• Deja Mandy, APRN
• Mona Vishin Mangat, MD
• Manjula S Mangipudy, MD
• Rhoderick James Manhattan, PA-C

• Acupuncturist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.