DAVID MANDIL (NPI# 1093179285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093179285 |
Entity Type | Individual |
Full Name | DAVID MANDIL |
Credential | DPM |
Practice Address |
1414 Newkirk Ave Brooklyn NY 11226-6599 |
Practice Telephone | 7187596100 |
Mailing Telephone | 7187596100 |
Mailing Fax Number | 7184340070 |
Enumeration Date | 2016-04-13 |
Last Update Date | 2020-05-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N006886 | NY | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | INDIVIDUAL NPI NUMBER | 1093179285 | 01 |
Street Address |
1414 NEWKIRK AVE |
City | BROOKLYN |
State | NY |
Zip Code | 11226-6599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255332714 | Universal Diagnostic Laboratories, Inc. | Clinical Medical Laboratory | 1414 Newkirk Ave, Brooklyn, NY 11226-6522 | 2005-08-09 |
1811523186 | Charlene Grant | Nurse Practitioner | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2020-03-19 |
1780216432 | Jeffrey Massaro | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2020-02-11 |
1245892256 | Tetyana Gorodetskaya | Physical Therapy Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2019-07-01 |
1376103895 | Molly Shotts | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2019-06-17 |
1851950471 | Lauren Danielle Buchwald | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2019-06-07 |
1508375718 | Olfat Khader Doleh | Nurse Practitioner | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2017-09-20 |
1457804353 | Katherine Migliore | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2016-07-27 |
1033531504 | Lauren Elizabeth Roop | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2014-01-17 |
1083050785 | Jacob Robert Peacock | Physical Medicine & Rehabilitation | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2013-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
1528691698 | Lu Ding | Social Worker | 2417 Albemarle Road, Unit 10d, Brooklyn, NY 11226 | 2020-02-18 |
1073089348 | Tiina Treasure | Social Worker | 2414 Church Ave, Brooklyn, NY 11226 | 2018-10-15 |
1508344490 | Natasha Samantha Hescott | Dietitian, Registered | 261 Lenox Rd Apt 6a, Brooklyn, NY 11226 | 2018-08-01 |
1265921977 | Janice Tom-george | Social Worker | 1818 Newkirk Ave Apt 4m, Brooklyn, NY 11226 | 2018-05-08 |
1336641299 | Millennia Ruth Lytle | Nutritionist | 135 Clarkson Ave, F8, Brooklyn, NY 11226 | 2018-03-06 |
1619495991 | Cassandra Wong | Physician Assistant | 163 Veronica Pl Apt 1r, Brooklyn, NY 11226 | 2017-09-06 |
1164940128 | Nz Pharmacy Inc | Pharmacy | 1296 Nostrand Ave, Brooklyn, NY 11226 | 2017-08-30 |
1497282412 | Shella St Ima | Licensed Practical Nurse | 45 E 25th St Fl 1, Brooklyn, NY 11226 | 2017-05-22 |
1174068209 | Tracey-ann Treadwell | Registered Nurse | 448 East 26th St., Apt 8, Brooklyn, NY 11226 | 2016-12-28 |
Find all providers in zip 11226 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
1497239792 | Junior Recardo King | Podiatrist | 596 Pennsylvania Ave, Brooklyn, NY 11207-6308 | 2018-09-21 |
1104350776 | Asher Wiederkehr | Podiatrist | 3714 Avenue P, Brooklyn, NY 11234-3426 | 2017-04-20 |
1215394051 | Blue Stone Podiatry Pllc | Podiatrist | 2546 E 13th St Apt B3, Brooklyn, NY 11235-4306 | 2016-01-25 |
1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
1760866651 | Jose Loor Dpm PC | Podiatrist | 125 Ashland Pl Apt 5d, Brooklyn, NY 11201-3926 | 2015-07-10 |
1033590112 | Valeriya Anbinder | Podiatrist | Coney Island Hospital, 2601 Ocean Parkway, Brooklyn, NY 11598 | 2015-06-15 |
Find all providers in BROOKLYN |
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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.