Active NPI
Mandana Alidjani, MD
- Adolescent Medicine (Internal Medicine) Physician
- Wilmington, NC
National Provider Identifier
1942839857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 202500178
- Practice address
- 1642 Military Cutoff Rd
Wilmington, NC 28403-5716 - Phone
- (910) 239-9347
- Fax
- (910) 239-9039
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 202500178 | NC | Primary |
Addresses
Primary practice location
1642 Military Cutoff Rd
Wilmington, NC 28403-5716
Mailing address
1642 Military Cutoff Rd
Wilmington, NC 28403-5716
Phone (910) 239-9347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261659 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1942839857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 MILITARY CUTOFF RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035716",
"telephone_number": "910-239-9347",
"fax_number": "910-239-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 MILITARY CUTOFF RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035716",
"telephone_number": "910-239-9347",
"fax_number": "910-239-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIDJANI",
"first_name": "MANDANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "NC",
"license": "202500178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.