Lisa Golda Mandelker, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

247364 Issued in NY

Practice address

145 Huguenot St Ste 200
New Rochelle, NY 10801-5200

Phone

(914) 235-1400

Fax

(914) 235-1534

NPI assigned

Jun 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Pediatric Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Children'S Health Physicians LLPGroup PAC ID 8325937014, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lisa.mandelkerdo.p1@direct.cwpw.nextgenshare.com

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.

• Boston Children'S Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment Care Compare group NPD
• Boston Childrens Health Physicians LLP

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD
• Pediatric Associates of Southern Westchester P C

  • Pediatrics Physician
  • New Rochelle, NY
  • NPI 1205922473
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1962663047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HUGUENOT ST STE 200",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015200",
            "telephone_number": "914-235-1400",
            "fax_number": "914-235-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HUGUENOT ST STE 200",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015200",
            "telephone_number": "914-235-1400",
            "fax_number": "914-235-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELKER",
        "first_name": "LISA",
        "middle_name": "GOLDA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "247364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Fatima Malik
• Cheryl R Malina, MD
• Romelle J Maloney, MD
• Tara Maloney, LMHC
• Katayun Kayomarz Mama
• Madeline Maria Manessis-Kaloudis, RPH
• Anthony Mango
• Jonathan Alfred Manley, LMSW
• Aviva Mann, EI
• Dana J Manna Paul

• Pediatrics Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.

Verify at the official NPI Registry.