Active NPI
Matthew Jeffrey Mandel, M.D.
- Neurology Physician
- New City, NY
National Provider Identifier
1821255183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 241960
- Practice address
- 9 Berkshire Dr
New City, NY 10956-5501 - Phone
- (917) 364-4383
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 241960 | NY | Primary |
Addresses
Primary practice location
9 Berkshire Dr
New City, NY 10956-5501
Mailing address
9 Berkshire Dr
New City, NY 10956-5501
Phone (917) 364-4383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241960 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1821255183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BERKSHIRE DR",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565501",
"telephone_number": "917-364-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BERKSHIRE DR",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565501",
"telephone_number": "917-364-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "MATTHEW",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "241960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.