Active NPIIndividual provider

Ellen D Mandel, PA

Physician Assistant in Berkeley Heights, New Jersey

NPI Number1518122365
Practice location
1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104
Fax
908-673-7132
Last updated
July 22, 2008

Ellen D Mandel is a Physician Assistant based in Berkeley Heights, NJ. Ellen D Mandel practices in Berkeley Heights, NJ and has the professional credentials of PA. The NPI Number for Ellen D Mandel is 1518122365 and holds a License No. 25MP00023000 (NJ). The current practice location address for Ellen D Mandel is 1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104 and can be reached out via phone at 908-277-8602 and via fax at 908-673-7132.

Provider Profile Details

NPI Number
1518122365
Provider Name
Ellen D Mandel
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104
Phone Number
908-277-8602
Fax Number
908-673-7132
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2008
Last Update Date
July 22, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Diamond Hill RD
Summit Medical Group
Berkeley Heights, NJ 07922-2104
Zip
07922-2104
Phone Number
908-277-8602
Fax Number
908-673-7132
Berkeley Heights, NJ 07922Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Summit Medical Group
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104
Phone Number
908-277-8602
Fax Number
908-673-7132

License Information

License Number
25MP00023000
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ellen D Mandel, PA?

The NPI number of Ellen D Mandel, PA is 1518122365. It was assigned on July 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Ellen D Mandel, PA?

Ellen D Mandel, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00023000.

Where does Ellen D Mandel, PA practice?

The practice location is 1 Diamond Hill RD, Summit Medical Group, Berkeley Heights, NJ 07922-2104. The office can be reached at 908-277-8602 (phone) or 908-673-7132 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518122365 directly on the NPPES registry website.

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