Active NPI
Nardine M Mikhail, DO
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1015325
- Practice address
- 840 Harrison Ave
Boston, MA 02118-2905 - Phone
- (617) 638-6610
- Fax
- (617) 638-6616
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1015325 | MA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25MB12769600 | NJ |
Addresses
Primary practice location
840 Harrison Ave
Boston, MA 02118-2905
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Other practice location 1
890 Mountain Ave
New Providence, NJ 07974-1218
Phone (908) 277-8673
Other practice location 2
10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110201651A | Medicaid | MA |
Other names 1
- Nardine Abdelmalek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015325 | MA | MD | Diagnostic Radiology Physician |
| 25MB12769600 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Neighborhealth Corporation | Current | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
890 Mountain Ave
New Providence, NJ 07974
Phone (908) 277-8799
Interoperability endpoints
- nardine.mikhail.1@2983.direct.athenahealth.com
- nmikhail241565@direct.bmc.masshiway.net
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1902301518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182905",
"telephone_number": "617-638-6610",
"fax_number": "617-638-6616"
}
],
"practiceLocations": [
{
"address_1": "890 Mountain Ave",
"address_purpose": "LOCATION",
"city": "New Providence",
"state": "NJ",
"postal_code": "079741218",
"country_code": "US",
"telephone_number": "908-277-8673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Gove St",
"address_purpose": "LOCATION",
"city": "East Boston",
"state": "MA",
"postal_code": "021281920",
"country_code": "US",
"telephone_number": "617-569-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKHAIL",
"first_name": "NARDINE",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "1015325",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MB12769600",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110201651A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NARDINE",
"last_name": "ABDELMALEK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.