Mordechai Mandelbaum

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

1239 46TH St
Brooklyn, NY 11219-2027

Phone

(917) 825-6777

NPI assigned

Nov 30, 2022

Last updated

Dec 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1861102857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190084",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112190084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 46TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192027",
            "telephone_number": "917-825-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBAUM",
        "first_name": "MORDECHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTC",
            "identifier": "1466",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://docs.google.com/spreadsheets/d/1rppTfvhjVFjRGR_si6fUCOH3eucGT_e8XS_Uq-vL6xk/edit?usp=sharing",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1239 46th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112192027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bena Mandelbaum, SLP
• Chana E Mandelbaum, MS SLP CCC
• Hersh Mandelbaum, SEIT
• Israel Mandelbaum
• Mordechai Mandelbaum, LCSW
• Phyllis Louise Mandelbaum, MSED
• Richard I Mandelbaum, MD
• Sandra Mandelbaum, LCSW
• Sarah Mandelbaum
• Shaindy Mandelbaum

• Adult Companion in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Companion in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.