Individual provider Active NPI

Mitchell Jay Mandel, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1710076427
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
184691 Issued in NY
Practice address
116 E 68TH St Apt 1C
New York, NY 10065-5995
Phone
(212) 570-9595
Fax
(646) 569-9881
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 184691 NY
Dermatology Physician 207N00000X 184691 NY Primary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 184691 NY
Pediatric Dermatology Physician 207NP0225X 184691 NY
Procedural Dermatology Physician 207NS0135X 184691 NY

Addresses

Primary practice location

116 E 68TH St Apt 1C
New York, NY 10065-5995

Mailing address

45 Northern Blvd
Greenvale, NY 11548-1346
Phone (212) 570-9595

Other practice location 1

100 Livingston St # 3L
Brooklyn, NY 11201-5127
Phone (347) 797-5005

Other practice location 2

45 Northern Blvd
Greenvale, NY 11548-1346
Phone (516) 506-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO, IL, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120103000630 NY Practitioner - Dermatology 4587830187 Reassigns benefits to 1 organization
Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY
I20220426002310 CO Practitioner - Dermatology 4587830187 Reassigns benefits to 1 organization
I20260116003647 IL Practitioner - Dermatology 4587830187 Reassigns benefits to 1 organization
I20260615003050 FL Practitioner - Dermatology 4587830187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandel-Wilentz Dermatology PLLCGroup PAC ID 7012137292, 2 clinicians

Practice addresses (Care Compare)

45 Northern Blvd
Greenvale, NY 11548-1346

500 N Broadway
Suite 166
Jericho, NY 11753-2129
Phone (516) 506-7546

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions1300
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy971

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184691NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mandel Dermatology Florida PLLC Dermatology Current Accepting new patients
Mandel Dermatology Boulder PLLC Dermatology CurrentSince Apr 8, 2022 Accepting new patients
Mandel-Wilentz Dermatology PLLC Dermatology CurrentSince Aug 29, 2014 Accepting new patients
Mandel Dermatology Chicago PLLC Dermatology CurrentSince Dec 18, 2025 Accepting new patients
Mitchell J Mandel MDPC Dermatology Past Accepting new patients

Locations

1840 Folsom St
Ste 100
Boulder, CO 80302
Phone (303) 219-0499

2575 Spruce St
Unit C
Boulder, CO 80302
Phone (720) 741-8051

150 E Huron St
Ste 801
Chicago, IL 60611
Phone (312) 337-2468

100 Livingston St
Ste 3L
Brooklyn, NY 11201
Phone (929) 295-6616

45 Northern Blvd
Greenvale, NY 11548
Phone (516) 506-7546

500 N Broadway
Ste 166
Jericho, NY 11753
Phone (516) 506-7546

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mmandel@directaddress.net

Practitioners & affiliated clinicians

Practitioners 4

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

Organizations & group practices 5

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1710076427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NORTHERN BLVD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481346",
            "telephone_number": "212-570-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 68TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655995",
            "telephone_number": "212-570-9595",
            "fax_number": "646-569-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Livingston St # 3L",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015127",
            "country_code": "US",
            "telephone_number": "347-797-5005",
            "fax_number": "347-212-0308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenvale",
            "state": "NY",
            "postal_code": "115481346",
            "country_code": "US",
            "telephone_number": "516-506-7546",
            "fax_number": "516-259-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "MITCHELL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "184691",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "184691",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NY",
            "license": "184691",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NY",
            "license": "184691",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "184691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.