MANDELL & BLAU, MD'S PC (NPI# 1780887950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780887950 |
| Entity Type | Organization |
| Organization Name | MANDELL & BLAU, MD'S PC |
| Other Organization Name | OPEN MRI OF MIDDLETOWN |
| Practice Address |
140 Main St Metro Square Middletown CT 06457-3437 |
| Mailing Address |
Po Box 230 Glastonbury CT 06033-0230 |
| Practice Telephone | 8606338806 |
| Practice Fax Number | 8603467400 |
| Mailing Telephone | 8606572242 |
| Mailing Fax Number | 8606572264 |
| 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 | OXFORD | A369503 | 01 |
| CT | ANTHEM BC/BS | 15MRI0016CT05 | 01 |
| CT | 4000931 | 05 | |
| CT | WELLCARE/PREFERRED ONE | 222094 | 01 |
| CT | CONNECTICARE | 060857 | 01 |
| CT | HEALTHNET | 2V0862 | 01 |
| CT | RAILROAD MEDICARE | CJ5750 | 01 |
| Other Name | Type Code |
|---|---|
| Open MRI of Middletown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376746537 | Mandell & Blau, Md's PC | Radiology | 137 Hazard Ave, Suite #2, Enfield, CT 06082-5425 | 2007-06-06 |
| 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 |
| 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 |
140 MAIN ST METRO SQUARE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1891269254 | Middletown Radiology LLC | Radiology | 1270 Rte 35 Ste 3, Middletown, NJ 07748-2014 | 2019-01-17 |
| 1154725620 | Optimum Radiology Group LLC | Radiology | 714 Rte 35, Middletown, NJ 07748-4202 | 2014-10-13 |
| 1316283542 | Leonard Stoane | Radiology | 435 Kelsey St, Middletown, CT 06457-5185 | 2012-12-15 |
| 1699939447 | Zaixiang Sherry Zhang | Radiology | 28 Cresecent St., Department of Radiology, Middletown, CT 06457 | 2008-07-10 |
| 1124137328 | Radiologic Associates of Middletown PC | Radiology | 57 S Main St, Middletown, CT 06457 | 2006-08-30 |
| 1588696058 | Constance S Gerassimakis | Radiology | 119 Cassina Dr, Middletown, DE 19709-9184 | 2006-07-07 |
| 1346282803 | Timothy J. Greenan, M.d. P.C. | Radiology | 779 Route 211 E, Middletown, NY 10941-1459 | 2006-06-11 |
| 1841240603 | Orange Radiology Associates, P.C. | Radiology | 674 E Main St, Middletown, NY 10940-2644 | 2006-05-11 |
| 1487645438 | Mussarat Chaudhry | Radiology | 707 East Main St., Radiologic Associates, PC, Middletown, NY 10940-4725 | 2005-10-31 |
| 1740622455 | Jawad M Nesheiwat | Radiology | 707 E Main St, Middletown, NY 10940-2650 | 2013-07-23 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MANDELL & BLAU, MD'S PC.
| 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.