MANDELL & BLAU, MD'S PC (NPI# 1376746537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376746537 |
| Entity Type | Organization |
| Organization Name | MANDELL & BLAU, MD'S PC |
| Other Organization Name | OPEN MRI OF ENFIELD |
| Practice Address |
137 Hazard Ave Suite #2 Enfield CT 06082-5425 |
| Mailing Address |
Po Box 230 Glastonbury CT 06033-0230 |
| Practice Telephone | 8607452288 |
| Practice Fax Number | 8607453388 |
| Mailing Telephone | 8606338806 |
| Mailing Fax Number | 8606573788 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | DR. NEAL BARKOFF (PRESIDENT) |
| Authorized Official Telephone | 8606338806 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | WELLCARE/PREFERRED ONE | 423285 | 01 |
| CT | ANTHEM BC/BS | 15MRI0016CT04 | 01 |
| CT | CONNECTICARE | 757857 | 01 |
| CT | HEALTHNET | 2V0862 | 01 |
| CT | 4000931 | 05 | |
| CT | OXFORD | A369503 | 01 |
| Other Name | Type Code |
|---|---|
| Open MRI of Enfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811007545 | Mandell & Blau, Md's PC | Radiology | 491 Buckland Rd, Suite 3, South Windsor, CT 06074-3732 | 2006-08-30 |
| 1841300589 | Mandell & Blau, Md's PC | Radiology | 65 Memorial Rd Ste 510, West Hartford, CT 06107-4226 | 2006-08-30 |
| 1780887950 | Mandell & Blau, Md's PC | Radiology | 140 Main St, Metro Square, Middletown, CT 06457-3437 | 2007-06-06 |
| 1679776835 | Mandell & Blau, Md's PC | Radiology | 124 Hebron Ave Ste 1b, Glastonbury, CT 06033-2063 | 2007-06-06 |
| 1801986526 | Mandell & Blau, Md's PC | Radiology | 491 Buckland Rd, Suite #3, South Windsor, CT 06074-3732 | 2006-10-13 |
| 1548350267 | Mandell & Blau, Md's PC | Radiology | 65 Memorial Rd, Suite 510, West Hartford, CT 06107-2434 | 2006-10-13 |
| 1679677306 | Mandell & Blau, Md's PC | Radiology | 81 Meriden Ave, Southington, CT 06489-3268 | 2006-09-12 |
| 1427168178 | Mandell & Blau, Md's PC | Radiology | 55 Meriden Ave, Southington, CT 06489-3238 | 2006-08-30 |
| 1508878620 | Mandell & Blau, Md's PC | Radiology | 100 Grand St, New Britain, CT 06052-2016 | 2006-08-13 |
| Street Address |
137 HAZARD AVE SUITE #2 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407169543 | Sama Alshora | Radiology | 55 Main St, Apt 6415, Enfield, CT 06082-3359 | 2010-07-19 |
| 1275846453 | Connecticut Imaging Partners, LLC | Radiology | 100 Hazard Ave, Enfield, CT 06082-5446 | 2010-07-16 |
| 1023069754 | Jefferson Radiology | Radiology | 100 Hazard Ave, Enfield, CT 06082-5446 | 2006-05-15 |
| 1508843798 | Amy Hazelton Martin | Radiology | 9 Cranbrook Blvd, Enfield, CT 06082-3889 | 2005-12-28 |
| 1588656300 | Jayant Bhagat | Radiology | 139 Hazard Ave, Bld # 6, Enfield, CT 06082-4585 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781236 | Waterford Vascular Associates, P.C. | Radiology | 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264 | 2019-10-11 |
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
| 1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
| 1538682760 | Christina Prete | Radiology | 350 S Cherry St, Wallingford, CT 06492-4429 | 2017-07-19 |
| 1003361320 | Susan Nally | Radiology | 445 Hogan Rd, Hamden, CT 06518-1927 | 2016-08-16 |
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
| 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.