DR. JILL ANNE MANDEL (NPI# 1053565168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053565168 |
| Entity Type | Individual |
| Full Name | DR. JILL ANNE MANDEL |
| Credential | DPT |
| Practice Address |
380 Washington Ave Roosevelt NY 11575-1845 |
| Mailing Address |
1643 Benedict Pl North Baldwin NY 11510-1712 |
| Practice Telephone | 5163782000 |
| Mailing Telephone | 5162236442 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
40QA01128500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
028109-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932324084 | Jill Mandel | Speech-Language Pathologist | 134 Terrace Ct, Woodbury, NY 11797-3012 | 2007-04-16 |
| 1982914545 | Jill K. Mandel | Audiologist | 555 Knollwood Rd, New York School for The Deaf, White Plains, NY 10603-1928 | 2010-10-18 |
| Street Address |
380 WASHINGTON AVE |
| City | ROOSEVELT |
| State | NY |
| Zip Code | 11575-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743072 | Catherine Finelli | Counselor | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2006-06-29 |
| 1700437860 | Kerry Mogavero | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-09-20 |
| 1093360992 | Jyoti Bariana | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-08-07 |
| 1649824756 | Jennifer Therese Martin | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-07-26 |
| 1578036125 | Victoria Marie Genova | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-01-07 |
| 1770067258 | Alicia Marie Sauerland | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
| 1316421787 | Pamela Holly Pollack | Physical Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
| 1962985333 | Patricia Josephine Telford | Specialist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-12 |
| 1912411471 | Damion Singh | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-20 |
| 1952813545 | Elizabeth Zofia Candela-krupp | Dental Hygienist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695800 | Joi Emmanuel | Social Worker | 335 East Clinton Avenue, Roosevelt, NY 11575 | 2019-02-19 |
| 1568838654 | Patricia Roots | Licensed Practical Nurse | 76 W Centennial Ave, Roosevelt, NY 11575 | 2015-08-12 |
| 1235413782 | Belle Cleaning Services LLC | Preferred Provider Organization | 64 Elmwood Ave, Roosevelt, NY 11575 | 2011-10-03 |
| 1194970715 | Lisa B. Maniatis-fitting | Physical Therapy Assistant | 360 Washington Ave., Roosevelt, NY 11575 | 2008-11-24 |
| 1629131792 | Naomi Deborah Steinberg | Social Worker | Ucpn-380 Washington Ave, Roosevelt, New York, NY 11575 | 2006-12-19 |
| 1750340212 | Eleanor Babinski | Pediatrics | 150 E. Sunrise Hwy, Suite 105, Lindenhurst, NY 11575 | 2006-03-22 |
| 1558778407 | Eac, Inc. | Day Training, Developmentally Disabled Services | 50 Clinton Street, Hempstead, NY 11575 | 2014-07-11 |
| 1720415342 | Kristen Leigh Gaglio | Specialist | 380 Washington Avenue, Roosevelt, NY 11575 | 2013-09-27 |
| 1083992192 | Stefanie Gofter | Occupational Therapist | 380 Washington Avenue, Roosevelt, NY 11575 | 2011-07-25 |
| 1437304045 | Bobby Nabeyama | Physical Therapist | 360 Washington Ave, Roosevelt, NY 11575 | 2008-11-24 |
| Find all providers in zip 11575 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316259393 | Symong Choi | Physical Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2010-07-08 |
| 1093941825 | Kathryn Yates Gray | Physical Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2009-06-08 |
| 1437304045 | Bobby Nabeyama | Physical Therapist | 360 Washington Ave, Roosevelt, NY 11575 | 2008-11-24 |
| 1336393446 | Diana Lynn Panullo | Physical Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1295398279 | Developmental Steps, LLC | Physical Therapist | 388 Westchester Ave Ste 1a-1b, Port Chester, NY 10573-3650 | 2019-04-16 |
| 1982176079 | Abilities Center, Pllc | Physical Therapist | 10 Mountain Ledge, Wilton, NY 12831-2539 | 2018-12-30 |
| 1922575026 | Hallie Rebecca Stock | Physical Therapist | 74 Stuyvesant Ave, Larchmont, NY 10538-2730 | 2018-10-26 |
| 1508331281 | Jaya Rachwani Parshotam | Physical Therapist | 323 W 96th St Apt 509, New York, NY 10025-6279 | 2018-10-09 |
| 1730663931 | Monica Isabel Bhardwaj | Physical Therapist | 1044 Cove Rd, Mamaroneck, NY 10543-4308 | 2018-09-24 |
| 1952884934 | Jumping Feet Mgmt Corp. | Physical Therapist | 175 19th St Apt 501, Brooklyn, NY 11232-1026 | 2018-09-14 |
| 1467934000 | Victoria Buchanan | Physical Therapist | 199 Thorncliff Rd, Buffalo, NY 14223-1241 | 2018-08-30 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1346734472 | Dale Scalise-smith | Physical Therapist | 24 Osborn St, Stony Point, NY 10980-3651 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.