Individual provider Active NPI

Jeff E Mandel, MD

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1851335756
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD420529 Issued in PA
Practice address
3400 Spruce St
4 Dulles BLDG
Philadelphia, PA 19104-4206
Phone
(215) 349-8310
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD420529 PA Primary

Addresses

Primary practice location

3400 Spruce St
4 Dulles BLDG
Philadelphia, PA 19104-4206

Mailing address

3400 Spruce St
4 Dulles BLDG
Philadelphia, PA 19104-4206
Phone (215) 349-8310

Other identifiers 1

IdentifierTypeStateIssuer
0019209560001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100407000544 PA Practitioner - Anesthesiology 4183750748 Reassigns benefits to 5 organizations
I20200116001804 NJ Practitioner - Anesthesiology 4183750748 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420529PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Hazleton Anesthesia Services, P.C. Anesthesiology CurrentSince Mar 10, 2025 Accepting new patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince Aug 27, 2021 Accepting new patients
Centurion Anesthesia Penn LLC Anesthesiology CurrentSince Nov 25, 2022 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Feb 26, 2019 Accepting new patients
Parkway Anesthesia Associates LLC Anesthesiology CurrentSince Jul 3, 2022 Accepting new patients
University of Penn-Medical Group Anesthesiology CurrentSince May 1, 2015 Accepting new patients
Anesthesia Services of Practice Associates, PA Anesthesiology CurrentSince Aug 8, 2022 Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

200 Broadway
Ste 3149
Brooklyn, NY 11211

1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

50 Moisey Dr
Ste 100
Hazle Township, PA 18202
Phone (570) 501-6500

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

3400 Spruce St
#780B
Philadelphia, PA 19104

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

404 2nd Street Pike
Southampton, PA 18966

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 10

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1851335756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "4 DULLES BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-349-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "4 DULLES BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-349-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "JEFF",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD420529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019209560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.