Organization Active NPI

Mark a. Mandel, D.C., P.C.

  • Chiropractor
  • Commack, NY
National Provider Identifier
1710080726
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X2058 Issued in NY
Legal business name
MARK A. MANDEL, D.C., P.C.
Practice address
66 Marie Cres
Commack, NY 11725-5221
Phone
(631) 543-4242
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Dr. Mark Alex Mandel, D.C., L.AC.
Title
Chiropractor/ Acupuncturist
Phone
(631) 543-4242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X2058 NY Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 1016 NY

Addresses

Primary practice location

66 Marie Cres
Commack, NY 11725-5221

Mailing address

66 Marie Cres
Commack, NY 11725-5221
Phone (631) 543-4242

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1710080726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MARIE CRES",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255221",
            "telephone_number": "631-543-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MARIE CRES",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255221",
            "telephone_number": "631-543-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. MANDEL, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "CHIROPRACTOR/ ACUPUNCTURIST",
        "authorized_official_telephone_number": "631-543-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2058",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "1016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.