Active NPI
Mitchell Jay Mandel, M.D.
- Dermatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 184691
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 28 |
| Removal of skin lesions | 1300 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 971 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184691 | NY | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mandel Dermatology Florida PLLC | Dermatology | Current | Accepting new patients |
| Mandel Dermatology Boulder PLLC | Dermatology | Current | Accepting new patients |
| Mandel-Wilentz Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Mandel Dermatology Chicago PLLC | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- New York, NY
- NPI 1689212003
-
- Physician Assistant
- Babylon, NY
- NPI 1467068171
-
- Dermatology Physician
- New York, NY
- NPI 1497379184
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.
-
- Dermatology Physician
- Greenvale, NY
- NPI 1821359670
-
- Dermatology Physician
- Boulder, CO
- NPI 1609518828
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1659204006
-
- Dermatology Physician
- Chicago, IL
- NPI 1437014735
-
- Dermatology Physician
- New York, NY
- NPI 1881955623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.