MANDELL & BLAU, MD'S PC (NPI# 1841300589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841300589 |
| Entity Type | Organization |
| Organization Name | MANDELL & BLAU, MD'S PC |
| Other Organization Name | IMAGING CENTER OF WEST HARTFORD |
| Practice Address |
65 Memorial Rd Ste 510 West Hartford CT 06107-4226 |
| Practice Telephone | 8602366517 |
| Practice Fax Number | 8602334823 |
| Mailing Telephone | 8602366517 |
| Mailing Fax Number | 8602334823 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | DR. JEFFREY S BLAU (PRESIDENT) |
| Authorized Official Telephone | 8608278978 |
| 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 | 4000931 | 05 | |
| CT | RAILROAD MEDICARE | CJ0886 | 01 |
| CT | CONNECTICARE | 406085 | 01 |
| CT | HEALTHNET | 3V2200 | 01 |
| CT | HEALTHNET | 3V0144 | 01 |
| CT | WELLCARE/PREFERRED ONE | 423302 | 01 |
| Other Name | Type Code |
|---|---|
| Imaging Center of West Hartford | 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 |
| 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 |
65 MEMORIAL RD STE 510 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| 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 |
|---|---|---|---|---|
| 1467403741 | Jefferson Radiology, PC | Radiology | 941 Farmington Ave, West Hartford, CT 06107-2203 | 2006-05-12 |
| 1548350267 | Mandell & Blau, Md's PC | Radiology | 65 Memorial Rd, Suite 510, West Hartford, CT 06107-2434 | 2006-10-13 |
| 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 | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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.