Mandel-Wilentz Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

184691 Issued in NY

Legal business name

MANDEL-WILENTZ DERMATOLOGY PLLC

Practice address

45 Northern Blvd
Greenvale, NY 11548-1346

Phone

(516) 506-7546

NPI assigned

Jun 7, 2012

Last updated

Apr 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell J Mandel, MDNPI 1710076427

Title

President

Phone

(516) 506-7546

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Jay Mandel, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1710076427
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Elizabeth Tongdee, MD, FAAD

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1659812881

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Seth Wilentz, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1255316121
  Medicare reassignment NPD
• Rachel L Gurrieri, PA-C

  • Physician Assistant
  • Babylon, NY
  • NPI 1467068171
  NPD
• Dustin H Marks, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1497379184
  NPD

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1821359670",
    "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": "516-506-7546",
            "fax_number": "516-259-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NORTHERN BLVD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481346",
            "telephone_number": "516-506-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Livingston St Ste 3L",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015127",
            "country_code": "US",
            "telephone_number": "347-797-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Broadway",
            "address_2": "Suite 166",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117532127",
            "country_code": "US",
            "telephone_number": "516-506-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANDEL-WILENTZ DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-506-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "184691",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "184691",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "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": []
}

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• Dermatology Physician in Greenvale, NY
• Providers in Greenvale, NY by specialty
• Dermatology Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.