Look up the most recent NPI and PECOS records

Joanna Mandell

Family Medicine

Allopathic & Osteopathic Physicians

64 Bleecker St # 151, New York, NY 10012-2410

PECOS Enrollment

Based on the most recent information from CMS, provider Joanna Mandell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:58 PM.

Profile Details

Provider ID
1831333780
Provider Type
Individual
Full Name
Mandell, Joanna
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/22/2009
Last Updated
1/28/2021

Contact Information

Practice Location

64 Bleecker St # 151, New York, NY 10012-2410

(302) 313-1584

Unlisted Fax

Mailing Location

64 Bleecker St # 151, New York, NY 10012-2410

(302) 313-1584

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A113134 California
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License Q3549 Texas

Joanna Mandell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Godwin, Chloe Eliza

Park, Anthony K.

Soto, Romy

Galileo Medical Pc

Shah, Nayan R.

Galileo Medical Group Ca Pc

Galilea Medical Group, Pa

De-Lin, Stacy Andrea

Jarrell, Todd M

Haupricht, Bradley Jon